Active NPI
Lawrence Stuart Miller, M.D.
- Rehabilitation Practitioner
- Beverly Hills, CA
National Provider Identifier
1073690798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- G28978
- Practice address
- 450 N Bedford Dr
Suite 205
Beverly Hills, CA 90210-4324 - Phone
- (310) 319-2619
- Fax
- (310) 319-2619
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | G28978 | CA | Primary |
Addresses
Primary practice location
450 N Bedford Dr
Suite 205
Beverly Hills, CA 90210-4324
Mailing address
145 S Burlingame Ave
Los Angeles, CA 90049-2641
Phone (310) 319-2619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G28978 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073690798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S BURLINGAME AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492641",
"telephone_number": "310-319-2619",
"fax_number": "310-319-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N BEDFORD DR",
"address_2": "SUITE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104324",
"telephone_number": "310-319-2619",
"fax_number": "310-319-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAWRENCE",
"middle_name": "STUART",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "G28978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G28978",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.