Milgrom Medical Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILGROM MEDICAL INC.

Practice address

1555 Vine St Apt 433S
Los Angeles, CA 90028-5298

Phone

(720) 837-1066

NPI assigned

Mar 20, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Milgrom, MD

Title

Doctor

Phone

(720) 837-1066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1912533985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 VINE ST APT 433S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 VINE ST APT 433S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285298",
            "telephone_number": "720-837-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILGROM MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "MILGROM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "720-837-1066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Lee Miles
• Tykeno Dupree Miles, AS, AA
• Thomas Ralph Miley, MSW/ACSW
• Gerald D. Milfort
• Miranda Deloris Milfort, PA
• Etan Milgrom, MD
• Marianne Milham
• Christina A. Milia
• Korina D Milian
• Vladana Milisavljevic, M.D.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.