OrganizationActive
Miracle Surgery Center,
NPI 1689324758 · Plastic Surgery Physician · Los Angeles, CA
Provider details
- NPI number
- 1689324758
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Farzin Kerendian, Medical Director(310) 274-4900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2080 Century Park East
Suite 606
Los Angeles, CA 90067
Phone: (310) 274-4900
Street-level locationGet directions
Mailing address
2080 Century Park East
Los Angeles, CA 90067
Registry dates
- Enumerated
- 2022-03-24
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.