PHILLIP MILGRAM MD, INC


Address: 4080 Centre St, Suite 105, San Diego, CA 92103-2655
Phone: 8446237587

PHILLIP MILGRAM MD, INC (NPI# 1679005128) 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) 1679005128
Entity Type Organization
Organization Name PHILLIP MILGRAM MD, INC
Other Organization Name NAD TREATMENT CENTER
Practice Address 4080 Centre St
Suite 105
San Diego
CA 92103-2655
Practice Telephone 8446237587
Mailing Telephone 8446237587
Enumeration Date 2017-04-03
Last Update Date 2017-04-03
Authorized Official Name PHILIP MARK MILGRAM (OFFICER)
Authorized Official Telephone 8446237587
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
A35411 CA Allopathic & Osteopathic Physicians
N 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
A35411 CA Allopathic & Osteopathic Physicians
Y 207V00000X Obstetrics & Gynecology A35411 CA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
NAD Treatment Center Doing Business As Name - Organization

Office Location

Street Address 4080 CENTRE ST
SUITE 105
City SAN DIEGO
State CA
Zip Code 92103-2655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386773109 Barbara Nosal Marriage & Family Therapist 4080 Centre St, San Diego, CA 92103-2655 2007-03-05
1063971646 Jane Margot Benson Social Worker 4080 Centre St, San Diego, CA 92103-2655 2019-03-13
1235665134 Claire Russell Specialist 4080 Centre St, San Diego, CA 92103-2655 2017-05-11
1477917607 Ancient Way Healing Center Acupuncturist 4080 Centre St, Suite 202, San Diego, CA 92103-2655 2016-04-13
1366827842 Kjersti Lang Student in an Organized Health Care Education/Training Program 4080 Centre St, San Diego, CA 92103-2655 2015-07-24
1447635222 Jamie Hood Marriage & Family Therapist 4080 Centre St, Suite 104, San Diego, CA 92103-2655 2015-07-22
1467837328 Margrieta Kiperts Student in an Organized Health Care Education/Training Program 4080 Centre St, Suite 104, San Diego, CA 92103-2655 2015-07-21
1386027985 Deanna Esmeralda Arango Case Manager/Care Coordinator 4080 Centre St, Suit 104, San Diego, CA 92103-2655 2015-07-01
1003296096 Ahmad Naweed Kazem Chiropractor 4080 Centre St, Ste 202, San Diego, CA 92103-2657 2015-06-04
1962806992 Amanda Sue Thompson Marriage & Family Therapist 4080 Centre St, San Diego, CA 92103-2655 2014-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316494768 Samantha Berg Obstetrics & Gynecology 9339 Genesee Ave Ste 220, San Diego, CA 92121-2121 2016-09-01
1326495276 Elizabeth Anne Coulter Obstetrics & Gynecology 200 West Arbor Drive, Mc8433, Ucsd Residency Office, San Diego, CA 92103 2016-05-20
1962889121 Reproductive Sciences Medical Center Obstetrics & Gynecology 3661 Valley Centre Dr, Suite 100, San Diego, CA 92130-3321 2015-04-27
1134515695 Tiffani Phan Obstetrics & Gynecology 550 Washington St Ste 331, San Diego, CA 92103-2227 2015-04-11
1437544251 Lindsey Ann Burnett Obstetrics & Gynecology 200 West Arbor Drive, Mailcode 8433, University of California San Diego, San Diego, CA 92103 2015-03-30
1811240906 Charles Hamrang Obstetrics & Gynecology 3250 Bunker Hill, San Diego, CA 92117 2012-10-26
1780955328 Gerald M Spector Obstetrics & Gynecology 4045 Couts St, San Diego, CA 92103-1501 2012-01-12
1841578572 L Dale Lapp M D Inc Obstetrics & Gynecology 4060 4th Ave Ste 640, San Diego, CA 92103-2118 2011-07-29
1114221603 Leroy Albert Miller Obstetrics & Gynecology 2359 Juan Street, San Diego, CA 92103 2010-12-27
1154635415 Robert J Santella, Md. Inc. Obstetrics & Gynecology 4531 College Ave, San Diego, CA 92115-4010 2010-07-28
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Competitor

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City SAN DIEGO
Zip Code 92103

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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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