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MILLER COSMETICS INC. A MEDICAL CORPORATION NPI 1194150813


NPI Information

NPI: 1194150813
Provider Name: MILLER COSMETICS INC. A MEDICAL CORPORATION

Doing Business As: OC DOMER MEDICAL GROUP

Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
1501 SUPERIOR AVE
SUITE 301
NEWPORT BEACH, CA
ZIP 92663
Phone: (909) 215-9463
Get Directions

MILLER COSMETICS INC. A MEDICAL CORPORATION is an otolaryngology/facial plastic surgery otolaryngology in Newport Beach, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. MILLER COSMETICS INC. A MEDICAL CORPORATION NPI is 1194150813. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oc Domer Medical Group.

The provider's business location address is:

1501 SUPERIOR AVE
SUITE 301
NEWPORT BEACH, CA
ZIP 92663-600
Phone: (909) 215-9463

The provider's authorized official is Todd C Miller .
The authorized official title is President and has the following contact phone number (909) 215-9463.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 9/12/2013.


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
1207YS0123XOtolaryngologyFacial Plastic SurgeryA90116CALIFORNIANo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryA90116COLORADOYes

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: 4/28/2024

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