Individual
MILLER C JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8750 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211-2708
(310) 689-3100
Mailing address
PO BOX 395, SUN CITY, CA 92586-0395
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A20077
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
07/29/2025
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