# MIRACLE MILE POST ACUTE LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457903338
- **Authorized official:** CRYSTAL SOLORZANO (MANAGER)
- **Authorized official phone:** (626) 346-0300

## Contact information

- **Practice address:** 1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
- **Practice address phone:** (323) 938-2451
- **Mailing address:** 107 W LEMON AVE, MONROVIA, CA 91016-2809
- **Mailing address phone:** (626) 346-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2019
- **Last updated:** 07/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 555139 | MEDICARE PTAN | CA |