Ms Milam Md Inc

NPI 1104884949 - Anesthesiology - 207L00000X

NPI Details
NPI 1104884949
Enumeration Date 05/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MALLORY STANTON MALLORY
Position PRESIDENT
Phone (310) 264-7300
Fax
Practice Location
2121 WILSHIRE BLVD
FLOOR 2
SANTA MONICA CA, 90403, US
Phone (310) 264-7300
Fax
Business Location
148 SOUTH ANITA AVE
LOS ANGELES CA, 90049, US
Phone (310) 415-9954
Fax (310) 476-6385
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number A78479
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According to our database, Ms Milam Md Inc NPI is 1104884949, taxonomy code is 207L00000X and license number is A78479, license state is located at California. Ms Milam Md Inc physically located at 2121 Wilshire Blvd, Santa Monica CA, 90403. NPI Number 1033115704 has the healthcare provider type.

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1104884949 NPI number is provided on an as is basis without warranty of any kind. 1104884949 is maintained by the National Plan & Provider Enumeration System. The contents of Ms Milam Md Inc are for informational purposes only.