Madeline L Miller MD a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C50252 Issued in CA

Legal business name

MADELINE L MILLER MD A MEDICAL CORPORATION

Practice address

2600 E Coast Hwy
Suite 200
Corona del Mar, CA 92625-2117

Phone

(949) 721-4161

Fax

(949) 717-0137

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Madeline Miller, M.D.

Title

Owner

Phone

(949) 721-4161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1962732180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E COAST HWY",
            "address_2": "SUITE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252117",
            "telephone_number": "949-721-4161",
            "fax_number": "949-717-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E COAST HWY",
            "address_2": "SUITE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252117",
            "telephone_number": "949-721-4161",
            "fax_number": "949-717-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE L MILLER MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-721-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C50252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cicera Lisboa de Melo
• Sarah Lockwood, AGACNP-BC
• Therese Marie Loutherback, M.ED.
• Dorothy Irene Lucchesi, PHYSICAL THERAPIST
• Katherine Macbarron
• Melissa Magdangal, OTR/L
• Angie Elizabeth Maldonado
• Barbara L Mallonee, D.D.S.
• Pamela Mangus, PHARM D.
• Mara Vascular Surgery Center Inc.

• Dermatology Physician in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.