| Mark Miller Md Inc | |
|
800 Fairmount Ave Ste 205 Pasadena CA 91105-3150 | |
| (626) 405-1513 | |
| (626) 449-1166 |
| Full Name | Mark Miller Md Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 800 Fairmount Ave, Pasadena, California |
| Authorized Official Name and Position | Mark Edmund Miller (CEO) |
| Authorized Official Contact | 6264051513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Miller Md Inc 510 W Central Ave Ste A Brea CA 92821-3032 Ph: (714) 996-1633 | Mark Miller Md Inc 800 Fairmount Ave Ste 205 Pasadena CA 91105-3150 Ph: (626) 405-1513 |
| NPI Number | 1558656090 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558656090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A76869 (California) | Primary |
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