Individual
DR. GLENN EDWARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1431 OCEAN AVENUE, #720, SANTA MONICA, CA 90401-2148
(310) 963-6433
(310) 260-7976
Mailing address
1431 OCEAN AVE APT 720, SANTA MONICA, CA 90401-2148
(310) 963-6433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G 29077
CA
207VX0000X
Obstetrics Physician
G29077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G20977
G20977
CA
Enumeration date
11/30/2010
Last updated
07/08/2025
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