Organization
STUART M MILLER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART MAHER MILLER MD (CEO)
(310) 264-2561
Entity
Organization
Contact information
Practice address
3828 DELMAS TERRACE, CULVER CITY, CA 90232
(310) 264-2561
(310) 264-2564
Mailing address
2001 SANTA MONICA BLVD, SUITE 470W, SANTA MONICA, CA 90404
(310) 264-2561
(310) 264-2564
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G22661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G226610
—
CA
01
—
110233953
RAILROAD MEDICARE
—
Enumeration date
10/10/2008
Last updated
10/10/2008
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