Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 11778 | CA |
Y | 111NI0013X | Independent Medical Examiner | 11778 | CA |
NPI | 1659602472 |
---|---|
Provider Name | Dr. Michael Millar |
First Address | Torrance, CA 90501-2438 |
Second Address | Torrance, CA 90501-2438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2010 |
Last Update Date | 18/01/2010 |