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MIRACLE MILE COMPREHENSIVE DENTAL CENTER
NPI 1043468267
Dentist - General Practice in Los Angeles, CA

Active since August 29, 2008
5455 WILSHIRE BLVD, SUITE # 850, LOS ANGELES, CA 90036(323) 930-4600(323) 930-4604 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miracle Mile Comprehensive Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE MILE COMPREHENSIVE DENTAL CENTER (NPI 1043468267) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2008. The organization lists Jang Wook Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043468267
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIRACLE MILE COMPREHENSIVE DENTAL CENTER
Location Address5455 WILSHIRE BLVD, SUITE # 850Los Angeles, CA 90036-4201
Mailing Address5455 Wilshire Blvd, Suite # 850Los Angeles, CA 90036-4201 · (323) 930-4600 · Fax (323) 930-4604
Phone(323) 930-4600
Fax(323) 930-4604
Organization SubpartNo
Authorized OfficialJang Wook KimCeo · (323) 930-4600
Enumeration DateAugust 29, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1043468267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 5015001
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5455 WILSHIRE BLVD, Los Angeles, CA 90036
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Other Identifiers 2

MedicaidD5015001CA
Other1801920921CA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWER IMAGING MEDICAL ASSOCIATES, INC.
Radiology (Diagnostic Radiology)
5455 WILSHIRE BLVD, SUITE 1120
LOS ANGELES, CA 90036
Los Angeles County (323) 549-3030
SHEPHERD HOSPICE CARE INC
Home Health
5455 WILSHIRE BLVD, SUITE 700
LOS ANGELES, CA 90036
Los Angeles County (323) 932-0500
SOCAL FLU SHOTS
Clinic/Center
5455 WILSHIRE BLVD, #1802
LOS ANGELES, CA 90036
Los Angeles County (323) 297-0700
COMPREHENSIVE HEALTH FOR ALL FERTILITY MEDICAL GROUP
Specialist
5455 WILSHIRE BLVD, 1904
LOS ANGELES, CA 90036
Los Angeles County (323) 525-3377
MRS. ANNA KAGAN MD
Psychiatry & Neurology (Psychiatry)
5455 WILSHIRE BLVD, SUITE 1714
LOS ANGELES, CA 90036
Los Angeles County (323) 936-7755
PASSPORT HEALTH LOS ANGELES
Clinic/Center
5455 WILSHIRE BLVD, SUITE #1802
LOS ANGELES, CA 90036
Los Angeles County (323) 297-0700
VISTITING PHYSICIANS ASSOCIATES LLC
Internal Medicine
5455 WILSHIRE BLVD, SUITE 1002
LOS ANGELES, CA 90036
Los Angeles County (347) 247-0300
MR. ROSS KENNETH GROSSMAN L.M.F.T.
Marriage & Family Therapist
5455 WILSHIRE BLVD, 1010
LOS ANGELES, CA 90036
Los Angeles County (323) 646-4477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Mile Comprehensive Dental Center's NPI number?

The NPI number for Miracle Mile Comprehensive Dental Center is 1043468267. It was assigned to this organization in the NPPES registry on August 29, 2008.

Where is Miracle Mile Comprehensive Dental Center located?

Miracle Mile Comprehensive Dental Center is located at 5455 Wilshire Blvd Suite # 850, Los Angeles, CA 90036. The listed phone number is (323) 930-4600.

What is Miracle Mile Comprehensive Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Miracle Mile Comprehensive Dental Center accept?

Health plans from UnitedHealthcare list Miracle Mile Comprehensive Dental Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miracle Mile Comprehensive Dental Center was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.