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NPI Code Detail

MEDICARE: REBECCA MILLER

MEDICARE: REBECCA MILLER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1447042411
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MILLER
Provider Business Mailing Address
First Line : 7320 LENNOX AVE UNIT F10
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-2304
Country : US
Telephone Number : 319-560-9949
Fax Number :
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 01/07/2026

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Directions to “ REBECCA MILLER ” Practice Location

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