Phillip Milgram MD, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A35411 Issued in CA

Legal business name

PHILLIP MILGRAM MD, INC

Practice address

4080 Centre St
Suite 105
San Diego, CA 92103-2655

Phone

(844) 623-7587

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Philip Mark Milgram, MD

Title

Officer

Phone

(844) 623-7587

Specialties & licenses 3

Addresses

Other names 1

• NAD Treatment Center Doing business as

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1679005128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032655",
            "telephone_number": "844-623-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032655",
            "telephone_number": "844-623-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP MILGRAM MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MILGRAM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "844-623-7587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A35411",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A35411",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A35411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAD Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aerin Mathew Philip, MD
• Thomas Philip, PHARMD
• Taylor Ashley Philips, LCSW
• Victoria Philips
• Veronica Philipsborn
• Crystal Vernell Phillip
• Lisa A. Phillip, MD
• Omari Phillip
• Sally Phillip
• Phillips Dental Corporation

• Obstetrics & Gynecology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.