Provider Demographics
NPI:1154441103
Name:MILLER, CLAY ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAY
Middle Name:ROBERT
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14341 BEACH BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4561
Mailing Address - Country:US
Mailing Address - Phone:714-373-2700
Mailing Address - Fax:714-373-2701
Practice Address - Street 1:14341 BEACH BLVD
Practice Address - Street 2:STE. B
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4561
Practice Address - Country:US
Practice Address - Phone:714-373-2700
Practice Address - Fax:714-373-2701
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16636111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic