# MUSEUM CENTER SURGERY GROUP INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Miracle Mile Outpatient Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417950197
- **Authorized official:** DR. HOWARD STANLEY RUBIN PHD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (323) 964-0866

## Contact information

- **Practice address:** 5757 WILSHIRE BLVD, PROMENADE 6, LOS ANGELES, CA 90036-3681
- **Practice address phone:** (323) 964-0866
- **Practice address fax:** (323) 964-0868
- **Mailing address:** 5757 WILSHIRE BLVD, PROMENADE 6, LOS ANGELES, CA 90036-3681
- **Mailing address phone:** (323) 964-0866
- **Mailing address fax:** (323) 964-0868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 930000897 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 10/19/2011