Healthcare Provider Details

I. General information

NPI: 1194250076
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL COOPER MILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19950 RINALDI ST STE 300
PORTER RANCH CA
91326-4141
US

IV. Provider business mailing address

2800 CAMPUS DR STE 10
PLYMOUTH MN
55441-8812
US

V. Phone/Fax

Practice location:
  • Phone: 818-271-2400
  • Fax:
Mailing address:
  • Phone: 763-398-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA162466
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA162466
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number80849
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: