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MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP NPI 1659392330


NPI Information

NPI: 1659392330
Provider Name: MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0955905

Address:
28240 AGOURA RD
SUITE102
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 706-9690
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MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP is a family medicine in Agoura Hills, 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. MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP NPI is 1659392330. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28240 AGOURA RD
SUITE102
AGOURA HILLS, CA
ZIP 91301-485
Phone: (818) 706-9690
Fax: (818) 706-9692

The provider's authorized official is David Roy Miller .
The authorized official title is Ceo and has the following contact phone number (818) 706-9690.

The CLIA number assigned to this NPI record is 05D0955905 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/18/2020.


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 MedicineA54820CALIFORNIAYes

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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