Miracle Mile Multispecialty Group
NPI 1154023067ActiveOrganization· Surgery· Los Angeles, CA
Surgery in Los Angeles, California, registered in NPPES in March 2023. The authorized official on file is Shahbaz Farnad, MD, Medical Director.
Overview
| NPI | 1154023067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2023 |
| Last updated in NPPES | Apr 25, 2023 |
| Certified by provider | Apr 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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