Organization
MIRACLE SURGERY CENTER,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZIN KERENDIAN D.O. (MEDICAL DIRECTOR)
(310) 274-4900
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 606, LOS ANGELES, CA 90067
(310) 274-4900
Mailing address
2080 CENTURY PARK EAST, SUITE 606, LOS ANGELES, CA 90067
(310) 274-4900
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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