Gerald W. Miller, MD a Proffessional Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GERALD W. MILLER, MD A PROFFESSIONAL CORP

Practice address

3816 Woodruff Ave
Suite 312
Long Beach, CA 90808-2147

Phone

(562) 377-6303

Fax

(562) 420-2285

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gerald W Miller, MD

Title

Owner/ Physician

Phone

(562) 377-6303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1124355797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE 312",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-377-6303",
            "fax_number": "562-420-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE 312",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-377-6303",
            "fax_number": "562-420-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD W. MILLER, MD A PROFFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "562-377-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A180270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George M. Jayatilaka, MD Inc
• George M. Jayatilaka, MD Inc
• Mary George
• Natalie George
• Hany Abdelmalek Georgy
• Corbin F Gerard, CAADE, BT
• Heather Liann Gerard, P.A.
• Sherri Gerard, LCSW
• Simon Gerard
• Drew Mason Gerardi

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.