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Organization
MIRACLE MILE MEDICAL CENTER, LLC
Active
Organization
MIRACLE MILE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K. THEIRING (CHIEF FINANCIAL OFFICER)
(323) 556-3942
Entity
Organization
Contact information
Practice address
6000 SAN VICENTE BLVD, LOS ANGELES, CA 90036-4404
(323) 930-1040
(323) 937-0525
Mailing address
PO BOX 17358, ENCINO, CA 91416-7358
(323) 930-1040
(323) 937-0525
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000143
CA
Other
Enumeration date
01/09/2007
Last updated
06/30/2008
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