Organization
SEAL BEACH MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MILLER (COLLETOR)
(562) 566-2829
Entity
Organization
Contact information
Practice address
1198 PACIFIC COAST HWY, SUITE D #519, SEAL BEACH, CA 90740
(562) 566-2829
(562) 550-7560
Mailing address
1077 PACIFIC COAST HWY STE 293, SEAL BEACH, CA 90740-6214
(562) 566-2829
(562) 550-7560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
111NX0800X
Orthopedic Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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