Organization
PENINSULA EYECARE MEDICAL ASSOCIATES
Active
Other names
Kenneth J Miller MD INC, PENINSULA EYECARE MEDICAL ASSOC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JOEL MILLER MD (PRESIDENT)
(310) 547-9991
Entity
Organization
Contact information
Practice address
800 S PACIFIC AVE STE A, SAN PEDRO, CA 90731-3267
(310) 547-9991
(310) 547-2389
Mailing address
800 S PACIFIC AVE STE A, SAN PEDRO, CA 90731-3267
(310) 547-9991
(310) 547-2389
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
04/24/2024
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