Individual
MICHAEL PAUL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIRMOUNT AVE, SUITE 101, PASADENA, CA 91105-3150
(626) 585-8700
(626) 585-8705
Mailing address
1778 MORADA PL, ALTADENA, CA 91001-3325
(626) 398-1498
(626) 585-8705
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G832610
—
CA
01
—
180030799
RAILROAD MEDICARE
CA
Enumeration date
01/08/2007
Last updated
08/12/2009
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