MIRACLE MILE MEDICAL CENTER, LLC (NPI# 1184773202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184773202 |
Entity Type | Organization |
Organization Name | MIRACLE MILE MEDICAL CENTER, LLC |
Practice Address |
6000 San Vicente Blvd Los Angeles CA 90036-4404 |
Mailing Address |
Po Box 17358 Encino CA 91416-7358 |
Practice Telephone | 3239301040 |
Practice Fax Number | 3239370525 |
Mailing Telephone | 3239301040 |
Mailing Fax Number | 3239370525 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2008-06-30 |
Authorized Official Name | MR. JAMES K. THEIRING (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3235563942 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 930000143 | CA | Hospitals |
Street Address |
6000 SAN VICENTE BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90036-4404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871560920 | Bal M Rajagopalan | Orthopaedic Surgery | 6000 San Vicente Blvd, Third Floor, Los Angeles, CA 90036-4404 | 2006-03-07 |
1154965846 | Jennifer Shmidt | Nurse Practitioner | 6000 San Vicente Blvd, Los Angeles, CA 90036-4404 | 2019-11-05 |
1528533254 | Docs Surgical Hospital, LLC | General Acute Care Hospital | 6000 San Vicente Blvd, Los Angeles, CA 90036-4404 | 2018-10-09 |
1619138575 | Linda Darlin Donofrio | Anesthesiology | 6000 San Vicente Blvd, Los Angeles, CA 90036-4404 | 2008-06-23 |
1437228962 | Linda Donofrio | Anesthesiology | 6000 San Vicente Blvd, Los Angeles, CA 90036-4404 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
Find all providers in zip 90036 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
1821535030 | Nieroshan Rajarubendra | General Acute Care Hospital | Usc Norris Cancer Center 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-9178 | 2017-01-25 |
1700338647 | Rsm Health Inc | General Acute Care Hospital | 212 Bailey St Suite 204, Los Angeles, CA 90033-2460 | 2016-10-26 |
1114477502 | Bagdasar Terpogosyan | General Acute Care Hospital | 1626 N Hobart Blvd, Los Angeles, CA 90027 | 2016-10-10 |
1558819391 | University of Southern California | General Acute Care Hospital | 1441 Eastlake Avenue, Suite 3440, Los Angeles, CA 90033-4972 | 2016-09-21 |
1346602042 | Ronald Reagan Ucla | General Acute Care Hospital | 3759 Delmas Ter, Unit 2, Los Angeles, CA 90034-5168 | 2016-03-22 |
1699133140 | Chino Valley Medical Center | General Acute Care Hospital | 1424 N Poinsettia Pl Apt 304, Los Angeles, CA 90046-4388 | 2016-01-29 |
1952784514 | L.a. Neurodiagnosticservices Inc. | General Acute Care Hospital | 1124 W 90th St, Los Angeles, CA 90044-3312 | 2015-07-01 |
1942680814 | Michael Tehrani Md Apc | General Acute Care Hospital | 10540 Wilshire Blvd, Suite 501, Los Angeles, CA 90024-4502 | 2015-06-04 |
1619354370 | Yael Bogler | General Acute Care Hospital | 3185 S Sepulveda Blvd Apt 302, Los Angeles, CA 90034-4221 | 2015-05-01 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90036 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.