Scott Richard Miller | Culver City, CA • PECOS Search

Scott Richard Miller

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

5769 Uplander Way, Culver City, CA 90230-6605

PECOS Enrollment

Based on the most recent information from CMS, provider Scott Richard Miller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1801055694
Provider Type
Individual
Full Name
Miller, Scott Richard
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/5/2008
Last Updated
6/5/2008

Contact Information

Practice Location

5769 Uplander Way, Culver City, CA 90230-6605

(310) 337-0400

Mailing Location

5769 Uplander Way, Culver City, CA 90230-6605

(310) 337-0400

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A72857 California