Healthcare Provider Details

I. General information

NPI: 1164643896
Provider Name (Legal Business Name): KRISTINA MILAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 STOCKTON BLVD STE 20
SACRAMENTO CA
95816-7097
US

IV. Provider business mailing address

1625 STOCKTON BLVD STE 205
SACRAMENTO CA
95816-7092
US

V. Phone/Fax

Practice location:
  • Phone: 916-862-9900
  • Fax:
Mailing address:
  • Phone: 916-862-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberA120950
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA120950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: