Miller, Kurt Douglas

Miller, Kurt Douglas is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 525, Mission Viejo CA 92691-8029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Miller, Kurt Douglas can be contacted via phone (949) 364-1040.

Contact Information

Primary practice address
26800 Crown Valley Pkwy Suite 525 Mission Viejo CA 92691-8029
Phone: (949) 364-1040
Fax: (949) 365-7037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G50728 California

Profile Details

NPI number 1417906686
LBN Legal business name Miller, Kurt Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417906686 NPPES
California MEDICAID G507280

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