Provider Demographics
NPI:1932128741
Name:MILES, STEVEN ALOYSIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALOYSIUS
Last Name:MILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 WEST THIRD STREET
Mailing Address - Street 2:SUITE 1017E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:424-363-9221
Mailing Address - Fax:310-289-5917
Practice Address - Street 1:8631 WEST THIRD STREET
Practice Address - Street 2:SUITE 1017E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:424-363-9221
Practice Address - Fax:310-289-5917
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48908207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92855Medicare UPIN