Provider Demographics
NPI:1407944119
Name:MILFORD, BETH WHARTON (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:WHARTON
Last Name:MILFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:WHARTON
Other - Last Name:MILFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1441 CONSTITUTION BOULEVARD
Mailing Address - Street 2:BUILDING 400, SUITE 202
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:94906
Mailing Address - Country:US
Mailing Address - Phone:714-625-2526
Mailing Address - Fax:831-769-0552
Practice Address - Street 1:1200 AGUAJITO RD
Practice Address - Street 2:MONTEREY COUNTY BEHAVIORAL HEALTH
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4887
Practice Address - Country:US
Practice Address - Phone:714-625-2526
Practice Address - Fax:831-769-0552
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG332802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G332800Medicaid
CAG33280AMedicare ID - Type Unspecified
CA00G332800Medicaid