Larry Miller, D.O.
Individual provider Active NPI Family Medicine Physician · Prather, CA
NPI 1801967617 · NPPES record last updated Feb 24, 2014
Key facts
- NPI
- 1801967617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A9261 (CA)
- Practice address
- 29369 Auberry Rd
102
Prather, CA 93651-9784 - Phone
- (559) 855-5390
- Fax
- (559) 855-5395
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9261 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9261 | CA | Yes |
Addresses
Primary practice location
29369 Auberry Rd
102
Prather, CA 93651-9784
Mailing address
29369 Auberry Rd
102
Prather, CA 93651-9784
Phone (559) 855-5390
Other providers in Prather, CA
- Troy Gus Garabedian
- Amanda Hoak
- Laura Marie Michelle Kwong
- Longs Drug Stores California LLC
- Stephanie Martin
- Brianna Musto
- Ryan Pierson
- Carly Reed
- Julie Rich
- Jerry M Schroer
All providers in Prather, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.