Individual
DR. ALEXANDER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17451 BASTANCHURY RD. SUITE 103A, YORBA LINDA, CA 92886-1871
(714) 961-0143
(714) 961-0265
Mailing address
17451 BASTANCHURY RD. SUITE 103A, YORBA LINDA, CA 92886-1871
(714) 961-0143
(714) 961-0265
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G42379
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G42379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3162518
—
CA
Enumeration date
07/07/2005
Last updated
08/28/2020
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