Justin David Millard (NPI# 1255569968, PAC ID# 0547408064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1255569968 |
| PAC ID by PECOS | 0547408064 |
| Professional Enrollment ID | I20150730011066 |
| Full Name | Justin David Millard |
| Organization Legal Name | PERRY R SECOR MD MEDICAL CORPORATION |
| Address |
3851 Katella Ave Suite 150 Los Alamitos CA 90720-3353 |
| Phone Number | 5623141400 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3678565512 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| 050551 | LOS ALAMITOS MEDICAL CENTER |
| 050581 | LAKEWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 | 5623141400 | PERRY R SECOR MD MEDICAL CORPORATION |
| Organization Legal Name | PERRY R SECOR MD MEDICAL CORPORATION |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grietje Van Dyk | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 |
| Andrew M Hanflik | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 |
| Perry R Secor | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 |
| Richard Blanks | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 |
| Diana G Lau | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 |
| Stephen P Graham | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Los Alamitos, CA 90720-3301 |
| Street Address |
3851 KATELLA AVE SUITE 150 |
| City | LOS ALAMITOS |
| State | CA |
| Zip | 90720-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grietje Van Dyk | Orthopedic Surgery | Perry R Secor Md Medical Corporation | 3851 Katella Ave, Suite 150, Los Alamitos, CA 90720-3353 |
| Todd Miller | Otolaryngology | Todd C Miller Md Inc | 3851 Katella Ave, Suite 320, Los Alamitos, CA 90720-3567 |
| Sarah Rose Rocks | Physician Assistant | Beach Orthopaedic Specialty Institute Inc | 3851 Katella Ave, Suite 202, Los Alamitos, CA 90720-3309 |
| Kyaw Moe | Nephrology | Prohealth Partners, A Medical Group | 3851 Katella Ave, Suite 325, Los Alamitos, CA 90720-3574 |
| Tapan Pandya | Pulmonary Disease | 3851 Katella Ave, Suite 315, Los Alamitos, CA 90720-3377 | |
| Stanley K Chou | Anesthesiology | Pacific Comprehensive Pain Management Inc | 3851 Katella Ave, Suite 301, Los Alamitos, CA 90720-3309 |
| Jennifer A Kim Loomis | Family Medicine | Prohealth Partners, A Medical Group | 3851 Katella Ave, Suite 275, Los Alamitos, CA 90720-3377 |
| Watson A Desa | Cardiovascular Disease (cardiology) | 3851 Katella Ave, Suite 305, Los Alamitos, CA 90720-3390 | |
| Naseer Ahmad | Hematology/oncology | Richy Agajanian M D A Professional Corporation | 3851 Katella Ave, Suite 355, Los Alamitos, CA 90720-3377 |
| Raymond A Klug | Orthopedic Surgery | Beach Orthopaedic Specialty Institute Inc | 3851 Katella Ave, Suite 202, Los Alamitos, CA 90720-3309 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haniffa M Maznavi | Internal Medicine | 3791 Katella Ave, Suite 101, Los Alamitos, CA 90720-2000 | |
| Sharon Kelly | Psychologist, Clinical | 3791 Katella Ave, Suite 106, Los Alamitos, CA 90720-2000 | |
| Lawrence G Waldrop | Internal Medicine | 3791 Katella Ave, Suite 104, Los Alamitos, CA 90720-2000 | |
| Mauricio J Heilbron Jr. | General Surgery | Prohealth Partners, A Medical Group | 3791 Katella Ave, Suite 107, Los Alamitos, CA 90720-2000 |
| Harold M Lin | Internal Medicine | 3791 Katella Ave, Suite 105, Los Alamitos, CA 90720-2000 | |
| Mark M Chung | Pulmonary Disease | 3791 Katella Ave, Suite 103, Los Alamitos, CA 90720-2000 | |
| Steve C Landis | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| Craig F Hite | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| David L Vannix | General Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Fritz Baumgartner | Thoracic Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Find all physicians in zip 90720 | |||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LOS ALAMITOS + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.