Individual
PHILLIP MARK MILGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3262 HOLIDAY CT STE 210, LA JOLLA, CA 92037-1811
(760) 944-9200
(760) 692-4411
Mailing address
444 N EL CAMINO REAL SPC 123, ENCINITAS, CA 92024-1317
(760) 944-9200
(760) 692-4411
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
A35411
CA
207V00000X
Obstetrics & Gynecology Physician
A35411
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A35411
CA
Other
Enumeration date
09/05/2006
Last updated
05/28/2023
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