Healthcare Provider Details

I. General information

NPI: 1558363325
Provider Name (Legal Business Name): ERIC SETH MILLSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 WILSHIRE BLVD STE 300
SANTA MONICA CA
90403-4922
US

IV. Provider business mailing address

2901 WILSHIRE BLVD STE 300
SANTA MONICA CA
90403-4922
US

V. Phone/Fax

Practice location:
  • Phone: 310-595-1030
  • Fax: 310-870-7341
Mailing address:
  • Phone: 310-595-1030
  • Fax: 310-870-7341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA78280
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: