Ms Milam MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A78479 Issued in CA

Legal business name

MS MILAM MD INC

Practice address

2121 Wilshire Blvd
Floor 2
Santa Monica, CA 90403

Phone

(310) 264-7300

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Mallory Stanton Milam Jr., MDNPI 1184682411

Title

President

Phone

(310) 415-9954

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mallory Stanton Milam Jr., MD

  • Anesthesiology Physician
  • Encino, CA
  • NPI 1184682411
  NPD (past) Authorized official

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104884949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SOUTH ANITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049",
            "telephone_number": "310-415-9954",
            "fax_number": "310-476-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "FLOOR 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-264-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS MILAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "STANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-415-9954",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A78479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massoud Mousavi, PT, DPT.
• Mousette MD Inc
• Mehran Movassaghi, M.D.
• Jamack Mozaffari, DDS
• Jonathan Mozenter
• Halima Muhammad
• Shey Mukundan
• Marilyn Mulay, RN, NP
• Drew Thomas Mulhall, MD
• Lanae Mullane, N.D.

• Anesthesiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.