| NPI | 1417950197 |
|---|---|
| Doing Business As | MIRACLE MILE OUTPATIENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | HOWARD STANLEY RUBIN Chief Executive Officer 323-964-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000897) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-10-19 |