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Organization
MS MILAM MD INC
Active
Organization
MS MILAM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY STANTON MILAM JR. MD (PRESIDENT)
(310) 415-9954
Entity
Organization
Contact information
Practice address
2121 WILSHIRE BLVD, FLOOR 2, SANTA MONICA, CA 90403
(310) 264-7300
Mailing address
148 SOUTH ANITA AVE, LOS ANGELES, CA 90049
(310) 415-9954
(310) 476-6385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A78479
CA
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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