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NPI Code Detail

MEDICARE: MS. VERONIQUE MCMILLIAN

MEDICARE: MS. VERONIQUE MCMILLIAN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1700112075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VERONIQUE MCMILLIAN
Provider Business Mailing Address
First Line : 3787 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-4203
Country : US
Telephone Number : 323-766-2345
Fax Number :
Provider Business Practice Location Address
First Line : 1901 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1260
Country : US
Telephone Number : 725-309-7671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2009
Last Update Date : 01/15/2026

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Directions to “ MS. VERONIQUE MCMILLIAN ” Practice Location

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