Millennium Medical Associates INC.
Psychiatry & Neurology, Psychiatry in Beverly Hills, CA. Organization (NPI-2).
NPI number1265152003
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1265152003
- Entity type
- Organization (NPI-2)
- Legal business name
- Millennium Medical Associates INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2022
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Millennium Medical Associates (Doing Business As)
Practice location
8641 Wilshire Blvd Ste 100Beverly Hills, CA 90211-2919
Phone 310-360-5917 · Fax 424-216-5783
Mailing address
8549 Wilshire Blvd Ste 1248Beverly Hills, CA 90211-3104
Phone 310-360-5917 · Fax 424-216-5783
Authorized official
Justin Daniel Wiesner
Practice Director
4242855385
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