| NPI | 1154023067 |
|---|---|
| Other Name | MIRACLE MILE MULTISPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | SHAHBAZ FARNAD Medical Director 310-383-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-04-25 |