Individual
MICHAEL J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 E GREEN ST STE 268, PASADENA, CA 91106-2401
(626) 577-8600
(626) 577-8718
Mailing address
960 E GREEN ST STE 268, PASADENA, CA 91106-2401
(626) 577-8600
(626) 577-8718
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G45459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G454590
—
CA
Enumeration date
07/13/2006
Last updated
12/17/2009
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