Organization
BELLEFONTAINE WOMENS HEALTH CARE MEDICAL GROUP, INC.
Active
Other names
Gregory Miller, M.D., President
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EDWARD MILLER M.D. (PRESIDENT)
(626) 796-3153
Entity
Organization
Contact information
Practice address
50 ALESSANDRO PL, 310, PASADENA, CA 91105-3149
(626) 796-3153
(626) 796-6495
Mailing address
50 ALESSANDRO PL, 310, PASADENA, CA 91105-3149
(626) 796-3153
(626) 796-6495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A82969
CA
174400000X
Specialist
Primary
G16108
CA
174400000X
Specialist
G9851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9851
MEDICAL LICENSE CHARLES B
CA
Enumeration date
07/09/2006
Last updated
08/22/2020
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