Elite Physical Medicine

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ELITE PHYSICAL MEDICINE

Practice address

217 El Camino Real
Tustin, CA 92780-3603

Phone

(714) 731-9355

Fax

(714) 544-1538

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sean O Milam, D.C.

Title

Clinic Director

Phone

(714) 731-9355

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1235478991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803603",
            "telephone_number": "714-731-9355",
            "fax_number": "714-544-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803603",
            "telephone_number": "714-731-9355",
            "fax_number": "714-544-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "714-731-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devyn Eldridge
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• Ahmed Elgazar, DDS.
• Marilou Dyquiangco Elido, DDS
• Ryan Elido
• Elizabeth Kim Nguyen DDS Inc (Tustin Village Dental)
• Nan Eller, CCC-SLP
• Rita Renee Ellithorpe, M.D.
• Alexander Tyler Elson, O.D.
• Embracing Journey

• Sports Medicine (Orthopaedic Surgery) Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.