Organization
MIRACLE MILE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHBAZ FARNAD MD (PRESIDENT)
(323) 433-7744
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD STE 6, LOS ANGELES, CA 90036-5810
(323) 433-7744
Mailing address
5757 WILSHIRE BLVD STE 6, LOS ANGELES, CA 90036-5810
(323) 433-7744
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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