SearchCalifornia172V00000X

Jared Miller, RADT

NPI 1205556362 · on the registry since 2022 · sole proprietor

Practice

Address
31764 Casino Dr # 200
Lake Elsinore, CA 92530
Phone
(951) 471-4649
Fax
(951) 471-4687

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
175T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California