MILLER COSMETICS INC. A MEDICAL CORPORATION (NPI# 1194150813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194150813 |
| Entity Type | Organization |
| Organization Name | MILLER COSMETICS INC. A MEDICAL CORPORATION |
| Other Organization Name | OC DOMER MEDICAL GROUP |
| Practice Address |
1501 Superior Ave Suite 301 Newport Beach CA 92663-3600 |
| Practice Telephone | 9092159463 |
| Mailing Telephone | 9092159463 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | TODD C MILLER (PRESIDENT) |
| Authorized Official Telephone | 9092159463 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A90116 | CA | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
A90116 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OC Domer Medical Group | Doing Business As Name - Organization |
| Street Address |
1501 SUPERIOR AVE SUITE 301 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458711 | Stanley Rosenblatt | Internal Medicine | 1501 Superior Ave, Ste 111, Newport Beach, CA 92663-3600 | 2005-06-22 |
| 1336799519 | Rutland Medical Group | Internal Medicine | 1501 Superior Ave, Newport Beach, CA 92663-3600 | 2019-09-19 |
| 1083000244 | Dena Amr Md Inc | Surgery | 1501 Superior Ave, Suite 202, Newport Beach, CA 92663-3600 | 2015-04-14 |
| 1801289400 | Liviu Gold | Dentist | 1501 Superior Ave, 100, Newport Beach, CA 92663-3600 | 2015-03-06 |
| 1962829457 | Blue Harbor Dermatology Inc | Dermatology | 1501 Superior Ave, Suite 115, Newport Beach, CA 92663-3600 | 2014-03-24 |
| 1932536927 | Melvin I Marks | General Practice | 1501 Superior Ave, Suite #111 & 311, Newport Beach, CA 92663-3600 | 2013-10-04 |
| 1164765020 | Lauren Ann Messelbeck | Acupuncturist | 1501 Superior Ave, Suite 300, Newport Beach, CA 92663-3600 | 2013-03-28 |
| 1598021248 | Radin Cardiovascular Medical Group Inc | Internal Medicine | 1501 Superior Ave, #312, Newport Beach, CA 92663-3600 | 2012-04-06 |
| 1306177977 | Jocelyn Bennett Craig, Md, Corporation | Obstetrics & Gynecology | 1501 Superior Ave, Suite 201, Newport Beach, CA 92663-3600 | 2010-01-21 |
| 1649509472 | Anita P Ling Dds Inc | Dentist | 1501 Superior Ave, 200, Newport Beach, CA 92663-3600 | 2009-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982876041 | Steven Marc Daines | Otolaryngology | 180 Newport Center Dr, Suite 158, Newport Beach, CA 92660-6972 | 2008-03-28 |
| 1609948843 | Timothy F. Kelley, Md, Inc. | Otolaryngology | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3637 | 2006-11-14 |
| 1558396895 | H. George Brennan | Otolaryngology | 400 Newport Center Dr, Ste. 100, Newport Beach, CA 92660-7601 | 2006-07-12 |
| 1871528802 | Timothy Kelley | Otolaryngology | 520 Superior Ave, Ste 270, Newport Beach, CA 92663-3637 | 2006-07-11 |
| 1255361432 | H. George Brennan, M.d., Inc. | Otolaryngology | 400 Newport Center Dr, Ste. 100, Newport Beach, CA 92660-7601 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159406 | Bh Ent Group Inc | Otolaryngology | 9033 Wilshire Blvd Ste 409, Beverly Hills, CA 90211-1847 | 2019-11-20 |
| 1942719570 | Beverly Hills Head and Neck Associates | Otolaryngology | 9401 Wilshire Blvd Ste 650, Beverly Hills, CA 90212-2913 | 2017-09-27 |
| 1083135065 | Jeffrey Jumaily Md Inc | Otolaryngology | 8816 Burton Way # 1, Beverly Hills, CA 90211-1715 | 2017-06-29 |
| 1558881771 | Bel Air Surgical Institute | Otolaryngology | 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 | 2017-06-20 |
| 1912371352 | Ent Surgical Specialists Inc. | Otolaryngology | 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 | 2015-11-23 |
| 1437536216 | Kiersten L. Riedler | Otolaryngology | 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 | 2015-04-30 |
| 1114344025 | Ryan M Casserly | Otolaryngology | 966 Cass St Ste 250, Monterey, CA 93940-4541 | 2014-03-28 |
| 1558798611 | Stephen Dow Proffitt | Otolaryngology | 172 Admiral Way, Costa Mesa, CA 92627-1397 | 2013-10-03 |
| 1447693973 | Jacob Lee Wester | Otolaryngology | 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 | 2013-04-15 |
| 1417294174 | Entegrative Otolaryngology PC | Otolaryngology | 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 | 2013-01-14 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.