Provider Demographics
NPI:1760493308
Name:MILTON, LANA L (MD)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:L
Last Name:MILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 WILSHIRE BLVD FL 10
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2010
Mailing Address - Country:US
Mailing Address - Phone:310-859-0526
Mailing Address - Fax:310-859-0528
Practice Address - Street 1:9701 WILSHIRE BLVD FL 10
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2010
Practice Address - Country:US
Practice Address - Phone:310-859-0526
Practice Address - Fax:310-859-0528
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA479672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A47967Medicare ID - Type Unspecified
D16662Medicare UPIN