Etan Milgrom, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G59018 Issued in CA

Practice address

849 W 34TH St
Los Angeles, CA 90089-0079

Phone

(213) 740-0225

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649281130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 W 34TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890079",
            "telephone_number": "213-740-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 W 34TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890079",
            "telephone_number": "213-740-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILGROM",
        "first_name": "ETAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59018",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G59018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00590180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tykeno Dupree Miles, AS, AA
• Thomas Ralph Miley, MSW/ACSW
• Gerald D. Milfort
• Miranda Deloris Milfort, PA
• Milgrom Medical Inc.
• Marianne Milham
• Christina A. Milia
• Korina D Milian
• Vladana Milisavljevic, M.D.
• Kylie Miljkovic

• Allergy & Immunology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.