Individual
MRS. KIMIKO P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 E YORBA LINDA BLVD STE B, PLACENTIA, CA 92870-2910
(714) 524-6000
(714) 524-6007
Mailing address
2722 SNOWFIELD ST, BREA, CA 92821-4662
(714) 743-2722
(714) 524-6007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11833
CA
363AM0700X
Medical Physician Assistant
PA-11833
CA
363AM0700X
Medical Physician Assistant
Primary
PA11833
CA
Other
Enumeration date
09/13/2005
Last updated
07/08/2024
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