Healthcare Provider Details

I. General information

NPI: 1609264167
Provider Name (Legal Business Name): RHONDA MILLER D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 09/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4014 LONG BEACH BLVD STE 100
LONG BEACH CA
90807-5407
US

IV. Provider business mailing address

4014 LONG BEACH BLVD STE 100
LONG BEACH CA
90807-5407
US

V. Phone/Fax

Practice location:
  • Phone: 562-426-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: