Healthcare Provider Details

I. General information

NPI: 1447187687
Provider Name (Legal Business Name): CHLOE ANNE HARDIN-MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAM HARDIN-MILLER

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3924 RIVERVIEW DR
JURUPA VALLEY CA
92509-6611
US

IV. Provider business mailing address

4933 PINNACLE ST
JURUPA VALLEY CA
92509-5428
US

V. Phone/Fax

Practice location:
  • Phone: 951-360-4175
  • Fax: 951-683-0339
Mailing address:
  • Phone: 951-360-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: