Basic Information
| Provider Information | |||||||||
| NPI: | 1194724492 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLIN | ||||||||
| FirstName: | FRANKLIN | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 FAIR OAKS AVE STE 270 | ||||||||
| Address2: | |||||||||
| City: | SOUTH PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910305801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6263462455 | ||||||||
| FaxNumber: | 6266393005 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 ATLANTIC AVE | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908065502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624370373 | ||||||||
| FaxNumber: | 8774693631 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2005 | ||||||||
| LastUpdateDate: | 03/30/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | G48663 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | 207R00000X | G48663 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | P01485584 | 01 | CA | RAILROAD MEDICARE-DV5277 | OTHER | P01486716 | 01 | CA | RAILROAD MEDICARE-DU4034 | OTHER | EFFECTIVE 5/1/1984 | 05 | CA | MEDICAID | 00G486630 | 01 | CA | MEDI CAL # | OTHER | P01486725 | 01 | CA | RAILROAD MEDICARE-DU4032 | OTHER | P01485584 | 01 | CA | RAILROAD MEDICARE-DU5182 | OTHER |