MEDICARE: DR. MICHAEL MILMAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC 30154	CA

General Provider Information

NPI Number	:	1639107055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL MILMAN DC

Provider Business Mailing Address
First Line	:	1419 N POINSETTIA PL APT 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-4346
Country	:	US
Telephone Number	:	323-876-3697
Fax Number	:

Provider Business Practice Location Address
First Line	:	1191 N VERMONT AVE STE A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1701
Country	:	US
Telephone Number	:	310-422-8231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MICHAEL MILMAN DC” Practice Location

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