Miracle Mile Community Practice
LBN: Miracle Mile Community Practice
Miracle Mile Community Practice is an health care organization with primary practice located at 7461 Beverly Blvd Ste 405 , Los Angeles CA 90036-2774. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Miracle Mile Community Practice can be contacted via phone (323) 939-6355, or through Marsten, David via phone (323) 936-3965.
Contact Information
Primary practice address
7461 Beverly Blvd Ste 405
Los Angeles CA 90036-2774
Phone: (323) 939-6355
Fax:
Website:
Authorized official contact:
Name: Marsten, David Licensed Clinical Social Worker (LCSW)
Phone: (323) 936-3965
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | LCS15899 | California |
| Agencies / Community/Behavioral Health | 251S00000X | 52614 | California |
Profile Details
| NPI number | 1386024115 |
|---|---|
| LBN Legal business name | Miracle Mile Community Practice |
| DBA Doing business as | |
| Authorized official | Marsten, David Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2015 |
| Last updated | Jun 7th, 2015 - about 11 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.
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