Organization
SHAHBAZ FARNAD MD PROFESSIONAL CORPORATION
Active
Organization
SHAHBAZ FARNAD MD PROFESSIONAL CORPORATION
Active
Other names
Miracle Mile Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHBAZ FARNAD MD (OWNER)
(310) 383-1400
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD, PROMENADE 2, LOS ANGELES, CA 90036
(310) 383-1400
Mailing address
5757 WILSHIRE BLVD, PROMENADE 2, LOS ANGELES, CA 90036
(310) 383-1400
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/25/2018
Last updated
05/10/2024
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