Individual
TIMOTHY A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #465, LOS ANGELES, CA 90095
(310) 825-5510
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A21438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A214380
—
CA
Enumeration date
10/11/2006
Last updated
10/05/2011
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