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
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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