Organization Active NPI

Lawrence R Miller MD a Professional Corp

  • Pain Medicine (Anesthesiology) Physician
  • Beverly Hills, CA
National Provider Identifier
1104032911
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G59739 Issued in CA
Legal business name
LAWRENCE R MILLER MD A PROFESSIONAL CORP
Practice address
8500 Wilshire Blvd Ste 1018
Beverly Hills, CA 90211-3108
Phone
(310) 747-7246
Fax
(310) 439-7246
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lawrence Ross MillerNPI 1902879067
Title
President
Phone
(310) 747-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X G59739 CA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G59739 CA
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X G59739 CA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X G59739 CA

Addresses

Primary practice location

8500 Wilshire Blvd Ste 1018
Beverly Hills, CA 90211-3108

Mailing address

8500 Wilshire Blvd Ste 1018
Beverly Hills, CA 90211-3108
Phone (310) 747-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000463 CA Part B Supplier - Clinic/Group Practice 4183778186 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Santa Ana, CA; Sherman Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2004853Lawrence Miller, MD8500 Wilshire Blvd, Ste 1018, Beverly Hills, CA 90211Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

1450 E 17th St
Ste 100
Santa Ana, CA 92705
Phone (714) 565-1000

4910 Van Nuys Blvd
#296
Sherman Oaks, CA 91403
Phone (310) 574-2166

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1104032911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 1018",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113108",
            "telephone_number": "310-747-7246",
            "fax_number": "310-439-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 1018",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113108",
            "telephone_number": "310-747-7246",
            "fax_number": "310-439-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R MILLER MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-747-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G59739",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G59739",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G59739",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G59739",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.