Organization
MILLER COSMETICS INC. A MEDICAL CORPORATION
Active
Other names
OC Domer Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
TODD C MILLER M.D. (PRESIDENT)
(909) 215-9463
Entity
Organization
Contact information
Practice address
1501 SUPERIOR AVE, SUITE 301, NEWPORT BEACH, CA 92663-3600
(909) 215-9463
Mailing address
1501 SUPERIOR AVE, SUITE 301, NEWPORT BEACH, CA 92663-3600
(909) 215-9463
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
A90116
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A90116
CO
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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