Provider Demographics
NPI:1437245669
Name:MILLER, CYNTHIA LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3816 WOODRUFF AVE
Mailing Address - Street 2:STE # 307
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808
Mailing Address - Country:US
Mailing Address - Phone:562-420-7670
Mailing Address - Fax:562-429-4064
Practice Address - Street 1:3816 WOODRUFF AVE
Practice Address - Street 2:STE # 307
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808
Practice Address - Country:US
Practice Address - Phone:562-420-7670
Practice Address - Fax:562-429-4064
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2010-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG51792207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G517920Medicaid
A93114Medicare UPIN
CA00G517920Medicaid