MEDICARE: STACI BRECKENRIDGE 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
1	133N00000X	Nutritionist		CA

General Provider Information

NPI Number	:	1609527233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACI BRECKENRIDGE MILLER

Provider Business Mailing Address
First Line	:	1451 QUAIL ST
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2742
Country	:	US
Telephone Number	:	949-290-6353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 QUAIL ST
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2742
Country	:	US
Telephone Number	:	949-290-6353
Fax Number	:

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

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	01/14/2022

Similar Medicare Providers

1205026077 — DR. CHRISTAL BERNOUS PH.D.
Practice Location Address:

1451 QUAIL ST , SUITE 102
NEWPORT BEACH, CA
92660-2742

Practice Phone: 714-345-7235
Practice Fax:

1881856292 — CHILDREN THERAPY STUDIO
Practice Location Address:

1451 QUAIL ST , SUITE 105
NEWPORT BEACH, CA
92660-2742

Practice Phone: 949-355-6111
Practice Fax:

1083916621 — VANCE B BECKER INC A PSYCHOLOGICAL CORPORATION
Practice Location Address:

1451 QUAIL ST , SUITE 102
NEWPORT BEACH, CA
92660-2742

Practice Phone: 949-757-1113
Practice Fax:

1821492844 — DR. JOCELYN FRANCISCO PH.D.
Practice Location Address:

1451 QUAIL ST , SUITE 105
NEWPORT BEACH, CA
92660-2742

Practice Phone: 949-891-2574
Practice Fax: 888-755-4389

1437698354 — FARAHNAZ HOJATZADEH
Practice Location Address:

1451 QUAIL ST , 102
NEWPORT BEACH, CA
92660-2742

Practice Phone: 949-679-4000
Practice Fax: 949-679-4028

1831840560 — MELANIE WILLIAMS
Practice Location Address:

1451 QUAIL ST
NEWPORT BEACH, CA
92660-2742

Practice Phone: 949-872-2550
Practice Fax:

Directions to “ STACI BRECKENRIDGE MILLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.