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MIRACLE WOMEN'S MEDICAL GROUP INC
NPI 1720217698
Obstetrics & Gynecology in Van Nuys, CA

Active since July 13, 2009CLIA 05D2009118 · Waiver
7100 VAN NUYS BLVD, SUITE 113, VAN NUYS, CA 91405(818) 909-0004(818) 909-0008 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miracle Women's Medical Group Inc NPPES

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

MIRACLE WOMEN'S MEDICAL GROUP INC (NPI 1720217698) is a healthcare organization registered as an obstetrics & gynecology in Van Nuys, California and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Von Movassaghi, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1720217698
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMIRACLE WOMEN'S MEDICAL GROUP INC
Location Address7100 VAN NUYS BLVD, SUITE 113Van Nuys, CA 91405-3063
Mailing AddressPo Box 260185Encino, CA 91426-0185 · (949) 212-8339 · Fax (949) 502-8887
Phone(818) 909-0004
Fax(818) 909-0008
Organization SubpartNo
Authorized OfficialVon MovassaghiBilling Manager · (949) 212-8339
Enumeration DateJuly 13, 2009
Last NPPES UpdateDecember 20, 2013
✔ NPI 1720217698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A96648
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7100 VAN NUYS BLVD, Van Nuys, CA 91405
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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 05D2009118

Miracle Women's Medical Group, Inc · Van Nuys, CA
Active · expires Sep 24, 2027
CLIA Number05D2009118
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorMichael Eshaghian MD
Laboratory Phone(818) 909-0004
Laboratory LocationMiracle Women's Medical Group, Inc7100 Van Nuys Blvd Ste 113, Van Nuys, CA 91405
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 12

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

LUDMILA VOSKOBOYNIK RN
Registered Nurse
7100 VAN NUYS BLVD, SUITE 108
VAN NUYS, CA 91405
Los Angeles County (800) 576-5544
MS. DENIECE FAITH SARMIENTO NP-C
Nurse Practitioner (Adult Health)
7100 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 786-8601
JULIE KANG-KIM OPTOMETRIC CORPORATION
Optometrist
7100 VAN NUYS BLVD, 208
VAN NUYS, CA 91405
Los Angeles County (818) 786-0796
HELEN HEE-SUN CHUNG PA
Physician Assistant
7100 VAN NUYS BLVD, SUITE 115
VAN NUYS, CA 91405
Los Angeles County (818) 786-8601
MRS. TSILYA MADORSKY NP
Nurse Practitioner (Women's Health)
7100 VAN NUYS BLVD, SUITE108
VAN NUYS, CA 91405
Los Angeles County (213) 284-3119
DR. JULIE LEE KIM O.D.
Optometrist
7100 VAN NUYS BLVD, SUITE 208
VAN NUYS, CA 91405
Los Angeles County (818) 786-0796
WOMEN'S CHOICE MATERNITY CLINIC
Obstetrics & Gynecology
7100 VAN NUYS BLVD, #113
VAN NUYS, CA 91405
Los Angeles County (818) 909-0004
KRISTEN BRIANNE ROSENTHAL RN
Registered Nurse
7100 VAN NUYS BLVD, SUITE 108
VAN NUYS, CA 91405
Los Angeles County (800) 576-5544

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 Women's Medical Group Inc's NPI number?

The NPI number for Miracle Women's Medical Group Inc is 1720217698. It was assigned to this organization in the NPPES registry on July 13, 2009.

Where is Miracle Women's Medical Group Inc located?

Miracle Women's Medical Group Inc is located at 7100 Van Nuys Blvd Suite 113, Van Nuys, CA 91405. The listed phone number is (818) 909-0004.

What is Miracle Women's Medical Group Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Miracle Women's Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2009118) is associated with this NPI, valid through September 24, 2027. 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 Women's Medical Group Inc was last updated on December 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.