<Unavail>
LBN: Miracle Care Inc
<Unavail> is an health care organization with primary practice located at 19225 Ventura Blvd , Tarzana CA 91356-3122. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Miracle Care Inc can be contacted via phone (818) 996-2878, or through Karagezyan, Arthur via phone (818) 996-2878.
Contact Information
Primary practice address
19225 Ventura Blvd
Tarzana CA 91356-3122
Phone: (818) 996-2878
Fax: (818) 996-2877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY51652 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY51652 | California |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHY51652 | California |
Profile Details
| NPI number | 1710992367 |
|---|---|
| LBN Legal business name | Miracle Care Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Karagezyan, Arthur |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Apr 30th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710992367 | NPPES |
| Other | 2122599 | PK | |
| MEDICAID | 2029339 | PK | |
| Other | 05-64624 | PK | |
| Other | PHY51652 | PK |
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