Provider Demographics
NPI:1275381162
Name:MILES, ALEAH
Entity type:Individual
Prefix:
First Name:ALEAH
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39260 CALA DEL VALLE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4301
Mailing Address - Country:US
Mailing Address - Phone:951-837-6350
Mailing Address - Fax:
Practice Address - Street 1:8017 MISSION GORGE RD STE B
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-3449
Practice Address - Country:US
Practice Address - Phone:951-837-6350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374700000X
246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No374700000XNursing Service Related ProvidersTechnician