Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miracle Mile Medical Center

Organization Community/Behavioral Health Agency · NPI 1174385934

Miracle Mile Medical Center is a Community/Behavioral Health Agency in Encino, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

15910 Ventura Blvd Ste 1719
Encino, CA 91436-2838
Phone: (310) 905-9682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1174385934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Jackelini — President · (310) 905-9682
Other names Miracle Mile Recovery; Miracle Mile Recovery
NPI enumeratedJanuary 26, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address15910 Ventura Blvd Ste 1719, Encino, CA 91436-2838

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