Miracle Mile Comprehensive Dental Center is a Dental Clinic in Los Angeles, California. It is located at 5455 Wilshire Blvd, Suite # 850, Los Angeles, CA and its contact number is 323-930-4600. The authorized person for Miracle Mile Comprehensive Dental Center is Dr. Jang Wook Kim
who is Ceo of the clinic and their contact number is 323-930-4600. The primary license number for Miracle Mile Comprehensive Dental Center is 5015001 (General Practice) in California. Miracle Mile Comprehensive Dental Center Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Miracle Mile Comprehensive Dental Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Miracle Mile Comprehensive Dental Center
Specialization:
General Practice Dentistry
Clinic Address:
5455 Wilshire Blvd, Suite # 850, Los Angeles, California, 90036-4201
Phone:
323-930-4600
Fax:
323-930-4604
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jang Wook Kim
Position:
Ceo
Contact Number:
323-930-4600
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Miracle Mile Comprehensive Dental Center clinic are as mentioned below.
NPI Number:
1043468267
NPI Enumeration Date:
29 Aug, 2008
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miracle Mile Comprehensive Dental Center are as mentioned below.
Specialization
License Number
State
Status
General Practice
5015001
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D5015001
Medicaid
California
1801920921
Other
California
Individual Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Miracle Mile Comprehensive Dental Center 5455 Wilshire Blvd, Suite # 850 Los Angeles, California
Zip:
90036-4201
Phone Number:
323-930-4600
Fax Number:
323-930-4604
Patients can reach Miracle Mile Comprehensive Dental Center at 5455 Wilshire Blvd, Suite # 850, Los Angeles, California or can call to book an appointment on 323-930-4600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.