Individual
RONALD E. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15243 VANOWEN ST, SUITE 410, VAN NUYS, CA 91405-3605
(818) 782-0559
(818) 782-8308
Mailing address
15243 VANOWEN ST, SUITE 410, VAN NUYS, CA 91405-3605
(818) 782-0559
(818) 782-8308
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77378Z
—
CA
Enumeration date
07/07/2006
Last updated
09/16/2021
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