# LAWRENCE R MILLER MD A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104032911
- **Authorized official:** LAWRENCE ROSS MILLER (PRESIDENT)
- **Authorized official phone:** (310) 747-7246

## Contact information

- **Practice address:** 8500 WILSHIRE BLVD STE 1018, BEVERLY HILLS, CA 90211-3108
- **Practice address phone:** (310) 747-7246
- **Practice address fax:** (310) 439-7246
- **Mailing address:** 8500 WILSHIRE BLVD STE 1018, BEVERLY HILLS, CA 90211-3108
- **Mailing address phone:** (310) 747-7246
- **Mailing address fax:** (310) 439-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G59739 | CA | Yes |
| 207R00000X | Internal Medicine Physician | G59739 | CA | — |
| 207RN0300X | Nephrology Physician | G59739 | CA | — |
| 208VP0000X | Pain Medicine Physician | G59739 | CA | — |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 10/17/2025
