Healthcare Provider Details

I. General information

NPI: 1194176081
Provider Name (Legal Business Name): TODD C MILLER, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10851 BLOOMFIELD ST
LOS ALAMITOS CA
90720-2504
US

IV. Provider business mailing address

10851 BLOOMFIELD ST
LOS ALAMITOS CA
90720-2504
US

V. Phone/Fax

Practice location:
  • Phone: 562-596-2925
  • Fax: 562-596-5703
Mailing address:
  • Phone: 562-596-2925
  • Fax: 562-596-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD C MILLER
Title or Position: OWNER
Credential: M.D.
Phone: 909-215-9463