Miller, Mandel M.
Miller, Mandel M. is an individual health care provider with primary practice located at 300 N Canon Dr , Beverly Hills CA 90210-4705. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Miller, Mandel M. can be contacted via phone (310) 273-3561.Contact Information
Primary practice address
300 N Canon Dr
Beverly Hills CA 90210-4705
Phone: (310) 273-3561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 31161 | California |
Profile Details
| NPI number | 1962722603 |
|---|---|
| LBN Legal business name | Miller, Mandel M. |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2010 |
| Last updated | Jun 4th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962722603 | NPPES |
| California | Other | 31161 | STATE LICENSE |
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