MILES BERTUMEN


Address: 283 N Aviation Blvd, Building 210, El Segundo, CA 90245
Phone: 3106536704

MILES BERTUMEN (NPI# 1578023057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578023057
Entity Type Individual
Full Name MILES BERTUMEN
Credential PHARMD
Practice Address 283 N Aviation Blvd
Building 210
El Segundo
CA 90245
Mailing Address 1909 Scimitar Dr
Henderson
NV 89014-2306
Practice Telephone 3106536704
Practice Fax Number 3106536658
Mailing Telephone 9519665045
Enumeration Date 2019-03-21
Last Update Date 2019-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 20031 NV Pharmacy Service Providers

Office Location

Street Address 283 N AVIATION BLVD
BUILDING 210
City EL SEGUNDO
State CA
Zip Code 90245

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NPI Name Taxonomy Address Enumeration
1366058976 Britt'nee Cornelius Massage Therapist 222 North PCh, Suite 2000, El Segundo, CA 90245 2020-09-18
1750913778 Laurie Ann Scoppetto Dietitian, Registered 482 N Aviation Blvd, El Segundo, CA 90245 2020-02-07
1972135283 A Dabrowska Dds, Inc Dentist 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 2020-02-05
1831673201 Kriss L. Killam Marriage & Family Therapist 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 2018-09-20
1811487911 Bright Light Recovery Substance Abuse Rehabilitation Facility 218 Concord St, Suite C, El Segundo, CA 90245 2018-05-14
1265950448 Sarah Yuriko Mizuki Physician Assistant 390 N PCh, Suite 1000, El Segundo, CA 90245 2017-09-07
1326586462 Jlp Interpreting Services Interpreter 963 Virginia St #5, El Segundo, CA 90245 2017-02-09
1619351707 El Segundo Dermatology, Inc. Specialist 713 N Douglas St., El Segundo, CA 90245 2015-07-17
1083956635 24hr Homecare, LLC Home Health 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 2013-03-21
1326316720 Kris S. Syn Pharmacist 331 North Sepulveda Blvd, El Segundo, CA 90245 2011-12-13
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114560679 Erin Toy Wong Pharmacist 2010 Rosecrans Ave, Suite 3230, El Segundo, CA 90245-4750 2019-10-28
1407260946 Milena Andrade Vaughn Pharmacist 543 E Walnut Ave, El Segundo, CA 90245-2454 2014-06-12
1326316720 Kris S. Syn Pharmacist 331 North Sepulveda Blvd, El Segundo, CA 90245 2011-12-13
1053694240 Paul A Harris Pharmacist 331 N Sepulveda Blvd, El Segundo, CA 90245-4444 2011-09-23
1861618902 Laura Bautista Abernathy Pharmacist 220 E Grand Ave, El Segundo, CA 90245-3827 2007-04-17
1619093770 Tina M Benkendorfer Pharmacist 200 N Douglas St, Bldg #210, El Segundo, CA 90245-4616 2007-03-21
1609822519 St. Antony Pharmacy Inc. Pharmacist 310 E Grand Ave Ste 105, El Segundo, CA 90245-3871 2006-05-25
1013528983 Jamie Thuy Pharmacist 331 N Pacific Coast Hwy, El Segundo, CA 90245-4444 2020-08-13
1417414798 Xuan T Duong Pharmacist 331 N Pacific Coast Hwy, El Segundo, CA 90245-4444 2019-02-22
1336653310 Brian Van Nguyen Pharmacist 220 E Grand Ave, El Segundo, CA 90245-3827 2017-11-29
Find all providers in EL SEGUNDO

Competitor

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City EL SEGUNDO
Zip Code 90245

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Dataset Information

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.

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