MIRACLE SURGERY CENTER,
NPI 1689324758
Plastic Surgery in Los Angeles, CA

Q: What is Miracle Surgery Center,'s NPI number?

The NPI number for Miracle Surgery Center, is 1689324758. It was assigned to this organization in the NPPES registry on March 24, 2022.

Q: What is Miracle Surgery Center,'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since March 24, 2022CLIA 05D2051042 · Waiver

2080 CENTURY PARK EAST, SUITE 606, LOS ANGELES, CA 90067(310) 274-4900 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miracle Surgery Center, NPPES

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

MIRACLE SURGERY CENTER, (NPI 1689324758) is a healthcare organization registered as a plastic surgery in Los Angeles, California and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Farzin Kerendian, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1689324758

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameMIRACLE SURGERY CENTER,

Location Address2080 CENTURY PARK EAST, SUITE 606Los Angeles, CA 90067

Mailing Address2080 Century Park East, Suite 606Los Angeles, CA 90067 · (310) 274-4900

Phone(310) 274-4900

Organization SubpartNo

Authorized OfficialFarzin KerendianMedical Director · (310) 274-4900

Enumeration DateMarch 24, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1689324758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2080 CENTURY PARK EAST, Los Angeles, CA 90067

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2051042

Miracle Surgery Center · Los Angeles, CA

Active · expires Dec 10, 2026

CLIA Number05D2051042

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 11, 2024

Certificate Expiration DateDecember 10, 2026

Laboratory DirectorFazin Kerendian

Laboratory Phone(310) 274-4900

Laboratory LocationMiracle Surgery Center2080 Century Park East, Ste. 606, Los Angeles, CA 90067

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

AJAY K. MASIH M.D.

Physical Medicine & Rehabilitation (Pain Medicine)

2080 CENTURY PARK EAST, SUITE 707
LOS ANGELES, CA 90067

Los Angeles County (310) 553-0123

ABE GREEN MD A PROF MEDICAL CORP

Internal Medicine (Nephrology)

2080 CENTURY PARK EAST, SUITE 1410
LOS ANGELES, CA 90067

Los Angeles County (310) 282-8202

DR. NICOLE RENEE FRAM MD

Ophthalmology

2080 CENTURY PARK EAST, SUITE 911
LOS ANGELES, CA 90067

Los Angeles County (310) 229-1220

ORTHOPEDIC SPECIALISTS OF SOUTHERN CALIFORNIA A MEDICAL CORPORATION

Specialist

2080 CENTURY PARK EAST, SUITE 1111
LOS ANGELES, CA 90067

Los Angeles County (858) 451-2280

MEHRAN MOVASSAGHI MD INC

Urology

2080 CENTURY PARK EAST, SUITE 1407
LOS ANGELES, CA 90067

Los Angeles County (310) 277-2929

DR. CRAIG WILLIAM ANDERSON DDS

Dentist (Endodontics)

2080 CENTURY PARK EAST, #1710
LOS ANGELES, CA 90067

Los Angeles County (310) 553-3232

BEVERLY HILLS MEDICAL GROUP

Surgery (Plastic and Reconstructive Surgery)

2080 CENTURY PARK EAST, SUITE #501
LOS ANGELES, CA 90067

Los Angeles County (310) 550-6886

DR. PAYMAN KHORRAMI MD

Internal Medicine (Gastroenterology)

2080 CENTURY PARK EAST, SUITE 1804
LOS ANGELES, CA 90067

Los Angeles County (310) 553-5588

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 Surgery Center,'s NPI number?

The NPI number for Miracle Surgery Center, is 1689324758. It was assigned to this organization in the NPPES registry on March 24, 2022.

Where is Miracle Surgery Center, located?

Miracle Surgery Center, is located at 2080 Century Park East Suite 606, Los Angeles, CA 90067. The listed phone number is (310) 274-4900.

What is Miracle Surgery Center,'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Miracle Surgery Center, hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2051042) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miracle Surgery Center, was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.