Provider Demographics
NPI:1265772982
Name:PILEPICH, MILJENKO (MD)
Entity type:Individual
Prefix:MR
First Name:MILJENKO
Middle Name:
Last Name:PILEPICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6283 CAVALLERI RD
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-4016
Mailing Address - Country:US
Mailing Address - Phone:310-597-5147
Mailing Address - Fax:310-457-3451
Practice Address - Street 1:6283 CAVALLERI RD
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-4016
Practice Address - Country:US
Practice Address - Phone:310-597-5147
Practice Address - Fax:310-457-3451
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC512832085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology