Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Dean Miller, SUDRC15148

Individual provider Substance Abuse Rehabilitation Facility · NPI 1710721170

Justin Dean Miller, SUDRC15148 is a Substance Abuse Rehabilitation Facility in West Hollywood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

7235 Santa Monica Blvd
West Hollywood, CA 90046-6724
Phone: (213) 669-2560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 15148 (CA)

Record details

NPI number1710721170
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC15148
Sole proprietorYes
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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