Millennium Multispecialty Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILLENNIUM MULTISPECIALTY MEDICAL GROUP INC

Practice address

1840 N Hacienda Blvd Ste 14
La Puente, CA 91744-1143

Phone

(626) 918-6080

Fax

(626) 918-6880

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

John Sedgh, MD

Title

Owner/President

Phone

(626) 918-6080

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Soheil Sol Marghzar, AU.D.

  • Audiologist
  • Culver City, CA
  • NPI 1386711687
  NPD (past)
• Ali Reza Tajik, M.D.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1629020268
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1467922195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6996",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902126996",
            "telephone_number": "626-918-6080",
            "fax_number": "626-918-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD STE 14",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-918-6080",
            "fax_number": "626-918-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MULTISPECIALTY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "SEDGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-918-6080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Merchant, DDS
• Norma Alicia Meza
• Raquel Veronica Michel, NP
• Erick Geovanny Millan Blanco
• Andrew Millano, RPH
• Ming Ren Zhang DDS Inc a Professional Corporation
• Ming Zhang DDS Inc.
• Emely Miramontes
• Bertha Elena Miranda
• Moises Miranda

• Internal Medicine Physician in La Puente, CA
• Providers in La Puente, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.