MIRACLE MILE MEDICAL CENTER FOR DERMATOLOGY AND COSMETIC SURGERY INC NPI 1326162975

NPI Information

MIRACLE MILE MEDICAL CENTER FOR DERMATOLOGY AND COSMETIC SURGERY, INC is an ambulatory surgical clinic center in Los Angeles, CA. MIRACLE MILE MEDICAL CENTER FOR DERMATOLOGY AND COSMETIC SURGERY, INC NPI is 1326162975. The provider is registered as an organization entity type.

The provider's business location address is:

6200 WILSHIRE BLVD
SUITE 1502
LOS ANGELES, CA
ZIP 90048-801
Phone: (323) 938-2626
Fax: (323) 938-2493

The provider's authorized official is Samer Alaiti .
The authorized official title is President and has the following contact phone number (323) 938-2626.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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