Healthcare Provider Details

I. General information

NPI: 1174380778
Provider Name (Legal Business Name): MILEA WEST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 CIVIC CENTER BLVD STE 104A
YUBA CITY CA
95993-3014
US

IV. Provider business mailing address

9245 LAGUNA SPRINGS DR STE 200
ELK GROVE CA
95758-7991
US

V. Phone/Fax

Practice location:
  • Phone: 916-467-4405
  • Fax:
Mailing address:
  • Phone: 916-467-4405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: