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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN DEAN MILLER, SUDRC# 15148

Active Sole Proprietor

JUSTIN DEAN MILLER, SUDRC# 15148 is a Substance Abuse Rehabilitation Facility healthcare provider located in WEST HOLLYWOOD, California. NPI 1710721170 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · WEST HOLLYWOOD, CA

Registration Details

NPI Number
1710721170
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2024 (2.1945922048556 yrs)
Last Updated
Jun 20, 2024
License
15148 (CA)
Sole Proprietor
Yes

Practice Information

Address
7235 SANTA MONICA BLVD
WEST HOLLYWOOD, CA, 900466724
Browse CA providers · Browse ZIP 90046
Phone
2136692560
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in WEST HOLLYWOOD, CA

Name Credential NPI
ANAYELI GAMEZ 1700629045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.