Organization
MIRACLE MILE CENTER FOR DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA HURTADO (BILLER)
(323) 933-1112
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 101, LOS ANGELES, CA 90048-5801
(323) 933-1112
Mailing address
6200 WILSHIRE BLVD, SUITE 101, LOS ANGELES, CA 90048-5801
(323) 933-1112
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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