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

Miracle Mile Multispecialty Group

Organization Surgery Physician · NPI 1154023067

Miracle Mile Multispecialty Group is a Surgery Physician in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5757 Wilshire Blvd Ste PR6
Los Angeles, CA 90036-3689
Phone: (323) 433-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1154023067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahbaz Farnad — Medical Director · (310) 383-1400
Other names Miracle Mile Multispecialty Group; Miracle Mile Multispecialty Group
NPI enumeratedMarch 22, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address5757 Wilshire Blvd Ste Pr6, Los Angeles, CA 90036-3689

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