MR. Mark Ian Miller is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Mark Ian Miller NPI is 1790044428. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
843 S SIERRA BONITA AVE
LOS ANGELES, CA
ZIP 90036-703
Phone: (626) 394-9334
The NPI 1790044428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 5/15/2012 and was last updated on 5/15/2012.