Provider Demographics
NPI:1821816513
Name:CAROLYN MILLION, MD
Entity type:Organization
Organization Name:CAROLYN MILLION, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MILLION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-421-8316
Mailing Address - Street 1:941 SHOREPOINT CT APT 343
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5872
Mailing Address - Country:US
Mailing Address - Phone:510-421-8316
Mailing Address - Fax:
Practice Address - Street 1:403 49TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2101
Practice Address - Country:US
Practice Address - Phone:510-421-8316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty