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Organization
MIRACLE MILE PEDIATRICS
Active
Organization
MIRACLE MILE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA ASNANI M.D. (PRESIDENT)
(323) 938-7294
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 215, LOS ANGELES, CA 90048-5201
(323) 938-7294
(323) 954-9295
Mailing address
6221 WILSHIRE BLVD, SUITE 215, LOS ANGELES, CA 90048-5201
(323) 938-7294
(323) 954-9295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A71831
CA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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