Individual
GARY WILLIAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1619 N LA BREA AVE APT 419, LOS ANGELES, CA 90028-6468
(773) 499-8487
Mailing address
1619 N LA BREA AVE APT 419, LOS ANGELES, CA 90028-6468
(773) 499-8487
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037222
CA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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