Basic Information
Provider Information
NPI: 1548792195
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILONE
FirstName: GINA
MiddleName: FRANCES
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 E OCEAN BLVD APT 1101
Address2:  
City: LONG BEACH
State: CA
PostalCode: 908026135
CountryCode: US
TelephoneNumber: 5163134582
FaxNumber:  
Practice Location
Address1: 333 CITY BLVD W STE 1400
Address2:  
City: ORANGE
State: CA
PostalCode: 928685900
CountryCode: US
TelephoneNumber: 7144566807
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2017
LastUpdateDate: 08/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X171779CAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
390200000X NYN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207VM0101X171779CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


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