Healthcare Provider Details

I. General information

NPI: 1578081691
Provider Name (Legal Business Name): CHRISTOPHER MILLS LVN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 S. ANAHEIM BLVD
ANAHEIM CA
92805
US

IV. Provider business mailing address

1030 W WARNER AVE
SANTA ANA CA
92707-3147
US

V. Phone/Fax

Practice location:
  • Phone: 714-600-5241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN241832
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: