Mills, Jesse N

Mills, Jesse N is an individual health care provider with primary practice located at 1260 15Th St Suite 1200, Santa Monica CA 90404-1135. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Mills, Jesse N can be contacted via phone (310) 451-8751.

Contact Information

Primary practice address
1260 15Th St Suite 1200 Santa Monica CA 90404-1135
Phone: (310) 451-8751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 44919 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X 138171 California
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 138171 California
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 138171 California

Profile Details

NPI number 1295881803
LBN Legal business name Mills, Jesse N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Nov 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295881803 NPPES
Colorado MEDICAID 25385763
Colorado Other 138171
Colorado Other P00647968

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