05D0578554 CLIA NUMBER - JOHN G MILLER MD

Laboratory Demographics

CLIA Number: 05D0578554

Facility Name: JOHN G MILLER MD

Facility Address:
355 PLACENTIA AVE SUITE 103
NEWPORT BEACH, CA
ZIP 92663
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Facility Phone Number: 714 645-6411

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093726721

Taxonomy: 207Q00000X - Family Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D0578554
LAB Type	Physician Office
Facility Name	JOHN G MILLER MD
Street	355 PLACENTIA AVE SUITE 103
City	NEWPORT BEACH
State	CA
ZIP	92663
Phone	714 645-6411
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024