Miller, Mark P

Miller, Mark P is an sole proprietor health care provider with primary practice located at 1211 W La Palma Ave Suite 101, Anaheim CA 92801-2815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Miller, Mark P can be contacted via phone (714) 635-9680.

Contact Information

Primary practice address
1211 W La Palma Ave Suite 101 Anaheim CA 92801-2815
Phone: (714) 635-9680
Fax: (714) 635-2924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G28208 California

Profile Details

NPI number 1073575353
LBN Legal business name Miller, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Jul 9th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073575353 NPPES
California Other ZZZ098672 BLUE SHIELD OF CALIF
California MEDICAID 00G282080 BLUE SHIELD OF CALIF

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