Individual
BENJAMIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18068 VIA ROMA, YORBA LINDA, CA 92886-2872
(714) 651-3980
Mailing address
18068 VIA ROMA, YORBA LINDA, CA 92886-2872
(714) 651-3980
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65613
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/03/2023
Last updated
01/06/2025
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