Provider Demographics
NPI:1770849044
Name:MILLER, DAVID FRANKLIN III (PHD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:FRANKLIN
Last Name:MILLER
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4453 OWENS ST
Mailing Address - Street 2:#105
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-7392
Mailing Address - Country:US
Mailing Address - Phone:951-663-0817
Mailing Address - Fax:
Practice Address - Street 1:4063 BIRCH STREET
Practice Address - Street 2:150
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-752-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist