MEDICARE: EMMA MILLER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	20A24248	CA

General Provider Information

NPI Number	:	1124778113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA MILLER D.O.

Provider Business Mailing Address
First Line	:	5841 JAMESON CT
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-0895
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 TRANCAS ST STE 270
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-2921
Country	:	US
Telephone Number	:	707-252-1076
Fax Number	:	707-252-7923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	07/30/2025

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