Organization
MUSEUM CENTER SURGERY GROUP INC.
Active
Other names
Miracle Mile Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD STANLEY RUBIN PHD (CHIEF EXECUTIVE OFFICER)
(323) 964-0866
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD, PROMENADE 6, LOS ANGELES, CA 90036-3681
(323) 964-0866
(323) 964-0868
Mailing address
5757 WILSHIRE BLVD, PROMENADE 6, LOS ANGELES, CA 90036-3681
(323) 964-0866
(323) 964-0868
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000897
CA
Other
Enumeration date
05/24/2005
Last updated
10/19/2011
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