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MIRACLE MILE SURGERY CENTER
NPI 1972201812
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since February 20, 2023CLIA 05D2330569 · Waiver
5757 WILSHIRE BLVD STE 6, LOS ANGELES, CA 90036(323) 433-7744 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Miracle Mile Surgery Center NPPES

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

MIRACLE MILE SURGERY CENTER (NPI 1972201812) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Shahbaz Farnad, President, as its authorized official.

NPPES Registry Identity

NPI1972201812
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMIRACLE MILE SURGERY CENTER
Location Address5757 WILSHIRE BLVD STE 6Los Angeles, CA 90036-5810
Mailing Address5757 Wilshire Blvd Ste 6Los Angeles, CA 90036-5810 · (323) 433-7744
Phone(323) 433-7744
Organization SubpartNo
Authorized OfficialShahbaz FarnadPresident · (323) 433-7744
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1972201812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5757 WILSHIRE BLVD STE 6, Los Angeles, CA 90036
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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 05D2330569

Miracle Mile Surgery Center · Los Angeles, CA
Active · expires Sep 17, 2027
CLIA Number05D2330569
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorShahbaz Farnad
Laboratory Phone(323) 433-7744
Laboratory LocationMiracle Mile Surgery Center5757 Wilshire Boulevard Pr6, Los Angeles, CA 90036
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Surgery Center's NPI number?

The NPI number for Miracle Mile Surgery Center is 1972201812. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Miracle Mile Surgery Center located?

Miracle Mile Surgery Center is located at 5757 Wilshire Blvd Ste 6, Los Angeles, CA 90036. The listed phone number is (323) 433-7744.

What is Miracle Mile Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Miracle Mile Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2330569) is associated with this NPI, valid through September 17, 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 Mile Surgery Center was last updated on February 20, 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.