Organization
MARK MILLER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDMUND MILLER II MD (CEO)
(626) 405-1513
Entity
Organization
Contact information
Practice address
800 FAIRMOUNT AVE, STE 205, PASADENA, CA 91105-3150
(626) 405-1513
(626) 449-1166
Mailing address
510 W CENTRAL AVE, STE A, BREA, CA 92821-3032
(714) 996-1633
(714) 996-9267
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A76869
CA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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