# JOHN G MILLER MD

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

## Provider details

- **NPI number:** 1215948948
- **Authorized official:** DR. JOHN GORDON MILLER MD (OWNER)
- **Authorized official phone:** (949) 645-6412

## Contact information

- **Practice address:** 355 PLACENTIA AVE. SUITE 103, NEWPORT BEACH, CA 92663
- **Practice address phone:** (949) 645-6412
- **Practice address fax:** (949) 645-8442
- **Mailing address:** 355 PLACENTIA AVE. SUITE 103, NEWPORT BEACH, CA 92663
- **Mailing address phone:** (949) 645-6412
- **Mailing address fax:** (949) 645-8442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A24265 | CA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 11/19/2007