NPI 1154755411

Miracle Board and Care&asssisted Living

Organisation Health Maintenance Organization Encino, CA

Practice location

Address: 17646 Calvert St, Encino, CA 91316-1216
Phone: (818) 344-1650
Fax: (818) 344-1753

Authorised official

Name: Louisa Sarafyan
Title: Owner
Phone: (818) 439-0611

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 197608216 (CA)

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Registry record

NPI: 1154755411
Entity type: Organization
NPI issued: 22 Aug 2013
Record last updated: 22 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.