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GERALD W. MILLER MD A PROFFESSIONAL CORP NPI 1124355797


NPI Information

NPI: 1124355797
Provider Name: GERALD W. MILLER, MD A PROFFESSIONAL CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3816 WOODRUFF AVE
SUITE 312
LONG BEACH, CA
ZIP 90808
Phone: (562) 377-6303
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GERALD W. MILLER, MD A PROFFESSIONAL CORP is a family medicine in Long Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GERALD W. MILLER, MD A PROFFESSIONAL CORP NPI is 1124355797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3816 WOODRUFF AVE
SUITE 312
LONG BEACH, CA
ZIP 90808-147
Phone: (562) 377-6303
Fax: (562) 420-2285

The provider's authorized official is Gerald W Miller .
The authorized official title is Owner/ Physician and has the following contact phone number (562) 377-6303.

The enumeration date for this NPI number is 11/3/2009 and was last updated on 11/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A21145MEDICARE UPINCALIFORNIA
2A18027MEDICARE PINCALIFORNIA
300A180270MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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