Provider Demographics
NPI:1194724492
Name:MILLIN, FRANKLIN G (MD)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:G
Last Name:MILLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:625 FAIR OAKS AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-5801
Mailing Address - Country:US
Mailing Address - Phone:626-346-2455
Mailing Address - Fax:626-639-3005
Practice Address - Street 1:1900 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-5502
Practice Address - Country:US
Practice Address - Phone:562-437-0373
Practice Address - Fax:877-469-3631
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48663207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01485584OtherRAILROAD MEDICARE-DV5277
CAP01486716OtherRAILROAD MEDICARE-DU4034
CAEFFECTIVE 5/1/1984Medicaid
CA00G486630OtherMEDI CAL #
CAP01486725OtherRAILROAD MEDICARE-DU4032
CAP01485584OtherRAILROAD MEDICARE-DU5182
CAP01485584OtherRAILROAD MEDICARE-DV5277
CAEFFECTIVE 5/1/1984Medicaid