Peter Miao MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G28541 Issued in CA

Legal business name

PETER MIAO MD INC

Practice address

5000 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1793

Phone

(818) 784-5300

Fax

(818) 784-5301

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter VW Miao, MD

Title

Director/Ceo

Phone

(818) 784-5300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1770753584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031793",
            "telephone_number": "818-784-5300",
            "fax_number": "818-784-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031793",
            "telephone_number": "818-784-5300",
            "fax_number": "818-784-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER MIAO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MIAO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "VW",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "818-784-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G285410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lois Peters
• Rebecca Karen Peterson, PSYD
• Edward Petko, M.D.
• Travis Petrick, NP

• Specialist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.