Surati-Tantod, Millie Jay

Surati-Tantod, Millie Jay is an sole proprietor health care provider with primary practice located at 5355 Warner Ave Ste 102 , Huntington Beach CA 92649-6030. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Surati-Tantod, Millie Jay can be contacted via phone (714) 477-8450.

Contact Information

Primary practice address
5355 Warner Ave Ste 102 Huntington Beach CA 92649-6030
Phone: (714) 477-8450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X A132755 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A132755 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2009-01996 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2009-01996 North Carolina

Profile Details

NPI number 1063672145
LBN Legal business name Surati-Tantod, Millie Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2008
Last updated Oct 27th, 2023 - about 3 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 1063672145 NPPES
North Carolina MEDICAID 5916400

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