Millennium Medical Associates Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MILLENNIUM MEDICAL ASSOCIATES INC.

Practice address

8641 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2919

Phone

(310) 360-5917

Fax

(424) 216-5783

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Justin Daniel Wiesner

Title

Practice Director

Phone

(424) 285-5385

Specialties & licenses 2

Addresses

Other names 1

• Millennium Medical Associates Doing business as

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1265152003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 WILSHIRE BLVD STE 1248",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113104",
            "telephone_number": "310-360-5917",
            "fax_number": "424-216-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112919",
            "telephone_number": "310-360-5917",
            "fax_number": "424-216-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "WIESNER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "424-285-5385"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miko Surgery Center, Inc.
• Milart Pharmacy Inc
• Miles Madison D D S Inc
• Franklin C Milgrim, MD
• Millennium Health Group, a Professional Corporation
• Bruce Lawrence Miller, M.D.
• Donna Miller, LMFT
• Donna Jean Miller, NPT
• Haley Miller
• Harry M Miller, MD

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.