Organization Active NPI

Milo M Webber M D, Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1982616793
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A16893 Issued in CA
Legal business name
MILO M WEBBER M D, INC
Practice address
3631 Crenshaw Blvd
Suite 103
Los Angeles, CA 90016-4869
Phone
(323) 730-5600
Fax
(323) 730-5603
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Milo Melvin Webber, MD
Title
Ceo
Phone
(310) 338-0659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A16893 CA Primary

Addresses

Primary practice location

3631 Crenshaw Blvd
Suite 103
Los Angeles, CA 90016-4869

Mailing address

5205 S Sherbourne Dr
Los Angeles, CA 90056-1127
Phone (310) 338-0659

Other identifiers 1

IdentifierTypeStateIssuer
00A16893OtherCAMEDICAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1982616793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S SHERBOURNE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561127",
            "telephone_number": "310-338-0659",
            "fax_number": "310-338-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 CRENSHAW BLVD",
            "address_2": "SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164869",
            "telephone_number": "323-730-5600",
            "fax_number": "323-730-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILO M WEBBER M D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "MILO",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-338-0659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A16893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "00A16893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.