Walter McMillan

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

RHN00003576 Issued in CA

Practice address

3740 Santa Rosalia Dr Apt 308
Los Angeles, CA 90008-3624

Phone

(323) 385-6469

NPI assigned

Apr 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1255950655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 SANTA ROSALIA DR APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083624",
            "telephone_number": "323-385-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 SANTA ROSALIA DR APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083624",
            "telephone_number": "323-385-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "WALTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "RHN00003576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly McMichael, MA, LMFT
• Jemielle McMillan
• Lauren McMillan, AMFT
• Lemmon C McMillan, M.D.
• Robert McMillan, M.D.
• Yolanda McMillan, NP
• Heather McMillen, LMFT
• Jynna McMillin, MD
• Floyd McMillon
• Niija S. McMillon, LMFT

• Nuclear Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nuclear Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.