Healthcare Provider Details

I. General information

NPI: 1982147633
Provider Name (Legal Business Name): MARGARET JOSEPHINE MILOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET JOSEPHINE MILOS-NYE M.D.

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 DOTY DR
ARROYO GRANDE CA
93420-5334
US

IV. Provider business mailing address

2828 DOTY DR
ARROYO GRANDE CA
93420-5334
US

V. Phone/Fax

Practice location:
  • Phone: 805-481-2323
  • Fax:
Mailing address:
  • Phone: 805-481-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberC38927
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC38927
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: