Provider Demographics
NPI:1366487985
Name:HOWARD MILLER, MD APC
Entity type:Organization
Organization Name:HOWARD MILLER, MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-457-0034
Mailing Address - Street 1:9834 GENESEE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1221
Mailing Address - Country:US
Mailing Address - Phone:619-457-0034
Mailing Address - Fax:858-764-9765
Practice Address - Street 1:9834 GENESEE AVE STE 310
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1221
Practice Address - Country:US
Practice Address - Phone:619-457-0034
Practice Address - Fax:858-764-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38875207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC38875OtherLICENSE
CAW15798Medicare ID - Type Unspecified
CAC38875OtherLICENSE