Provider Demographics
NPI:1174380778
Name:WEST, MILEA
Entity type:Individual
Prefix:
First Name:MILEA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 LAGUNA SPRINGS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7991
Mailing Address - Country:US
Mailing Address - Phone:916-467-4405
Mailing Address - Fax:
Practice Address - Street 1:5713 SEEDLING WAY
Practice Address - Street 2:
Practice Address - City:LINDA
Practice Address - State:CA
Practice Address - Zip Code:95901-8378
Practice Address - Country:US
Practice Address - Phone:916-467-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator