Organization Active NPI

Millan Chiropractic Group Apc

  • Health Service Clinic/Center
  • San Pedro, CA
National Provider Identifier
1780206698
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MILLAN CHIROPRACTIC GROUP APC
Practice address
615 W 9TH St
San Pedro, CA 90731-3107
Phone
(562) 276-8463
NPI assigned
May 13, 2020
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Jeffrey Scott Millan, DC
Title
Owner
Phone
(562) 276-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

615 W 9TH St
San Pedro, CA 90731-3107

Mailing address

10091 Hidden Village Rd
Garden Grove, CA 92840-4745
Phone (562) 276-8463

National Provider Directory

National Provider Directory

Locations

1432 W 25th St
San Pedro, CA 90732
Phone (424) 334-0040

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1780206698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10091 HIDDEN VILLAGE RD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404745",
            "telephone_number": "562-276-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313107",
            "telephone_number": "562-276-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLAN CHIROPRACTIC GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MILLAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-276-8463",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.