Provider Demographics
NPI:1083646137
Name:MILOVINA, MICHELE M (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:M
Last Name:MILOVINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:M
Other - Last Name:HAKAKHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9735 WILSHIRE BOULEVARD
Mailing Address - Street 2:#207
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-274-2005
Mailing Address - Fax:310-274-2453
Practice Address - Street 1:9735 WILSHIRE BOULEVARD
Practice Address - Street 2:#207
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212
Practice Address - Country:US
Practice Address - Phone:310-274-2005
Practice Address - Fax:310-274-2453
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71140207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H67082Medicare UPIN