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Contact Information

JESSE N MILLS, MD
1260 15TH ST
SUITE 1200
SANTA MONICA, CA90404-1135
 Phone: 310-451-8751
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Pediatric Urology

2088P0231X 34 Physician/Urology
 

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
Indicates primary specialty

NPI Profile & details for JESSE N MILLS · (Male)

NPI Number 1295881803
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2007
Last updated 11/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 138171
  • CO License # 44919
  • CO Medicaid 25385763
  • CA Other 138171 MEDICAL LICENSE
  • CO Other P00647968 RAILROAD MEDICARE
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
  • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL - (Acute Care)
    1250 16TH STREET
    SANTA MONICA, CA 90404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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