Healthcare Provider Details

I. General information

NPI: 1528199361
Provider Name (Legal Business Name): FRANKLIN C MILGRIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8730 WILSHIRE BLVD STE 210
BEVERLY HILLS CA
90210
US

IV. Provider business mailing address

8730 WILSHIRE BLVD STE 210
BEVERLY HILLS CA
90210
US

V. Phone/Fax

Practice location:
  • Phone: 310-854-3001
  • Fax: 310-854-3007
Mailing address:
  • Phone: 310-854-3001
  • Fax: 310-854-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG26189
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberG26189
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG26189
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: