# PHILLIP MILGRAM MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NAD Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679005128
- **Authorized official:** PHILIP MARK MILGRAM MD (OFFICER)
- **Authorized official phone:** (844) 623-7587

## Contact information

- **Practice address:** 4080 CENTRE ST, SUITE 105, SAN DIEGO, CA 92103-2655
- **Practice address phone:** (844) 623-7587
- **Mailing address:** 4080 CENTRE ST, SUITE 105, SAN DIEGO, CA 92103-2655
- **Mailing address phone:** (844) 623-7587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | A35411 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | A35411 | CA | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | A35411 | CA | — |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/03/2017