Individual
JASON M. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MERCY CIR, CAMP PENDLETON, CA 92055-5191
(760) 725-1780
Mailing address
555 N EL CAMINO REAL, A389, SAN CLEMENTE, CA 92672-6740
(949) 612-2727
(949) 612-2727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A82629
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A82629
CA
Other
Enumeration date
06/09/2006
Last updated
02/06/2025
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