# MILLIE MEDICAL OF CALIFORNIA PC

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

## Provider details

- **NPI number:** 1740926534
- **Authorized official:** DR. MICHAEL HAFRAN MD (OWNER)
- **Authorized official phone:** (262) 844-0695

## Contact information

- **Practice address:** 111 N MARKET ST STE 379, SAN JOSE, CA 95113-1101
- **Practice address phone:** (669) 305-6600
- **Mailing address:** 548 MARKET ST STE 73799, SAN FRANCISCO, CA 94104-5401
- **Mailing address phone:** (262) 844-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2022
- **Last updated:** 05/05/2022