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Miracle Care, Inc. dba The Medicine Shoppe

Debarred entity
TypeCompany[sources]
NameMiracle Care, Inc. dba The Medicine Shoppe[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
NPI1710992367[sources]
Registration numberPHY 51652[sources]
SectorEntity/Corporation[sources]
Address19225 Ventura Blvd., Tarzana, CA, 91356[sources]
Last changeLast processedFirst seen

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Data sources

US California Medicaid Suspended and ineligible providers23,094

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


Source data IDs: us-npi-1710992367 · us-medca-2aa4a15e6446800b4064629633e01195039197d7

For experts: raw data explorer