| Gerald W. Miller, Md A Proffessional Corp | |
|
3816 Woodruff Ave Suite 312 Long Beach CA 90808-2147 | |
| (562) 377-6303 | |
| (562) 420-2285 |
| Full Name | Gerald W. Miller, Md A Proffessional Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 3816 Woodruff Ave, Long Beach, California |
| Authorized Official Name and Position | Gerald W Miller (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 5623776303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald W. Miller, Md A Proffessional Corp 3816 Woodruff Ave Suite 312 Long Beach CA 90808-2147 Ph: (562) 377-6303 | Gerald W. Miller, Md A Proffessional Corp 3816 Woodruff Ave Suite 312 Long Beach CA 90808-2147 Ph: (562) 377-6303 |
| NPI Number | 1124355797 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124355797 | NPI | - | NPPES |
| 00A180270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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