Individual
GEOFFREY MARC MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 APOLLO ST, #243, EL SEGUNDO, CA 90245-4700
(310) 524-9091
(310) 524-9092
Mailing address
880 APOLLO ST, #243, EL SEGUNDO, CA 90245-4700
(310) 524-9091
(310) 524-9092
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G43516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G435161
—
CA
01
—
CMS165200
CMS
CA
05
—
G435160
—
CA
Enumeration date
01/17/2007
Last updated
03/06/2014
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