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Organization
MIRACLE MILE MEDICAL CENTER FOR DERMATOLOGY AND COSMETIC SURGERY, INC
Active
Organization
MIRACLE MILE MEDICAL CENTER FOR DERMATOLOGY AND COSMETIC SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER ALAITI MD (PRESIDENT)
(323) 938-2626
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1502, LOS ANGELES, CA 90048-5801
(323) 938-2626
(323) 938-2493
Mailing address
6200 WILSHIRE BLVD, SUITE 1502, LOS ANGELES, CA 90048-5801
(323) 938-2626
(323) 938-2493
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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