Miko Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AAAASF Issued in CA

Legal business name

MIKO SURGERY CENTER, INC.

Practice address

435 N Roxbury Dr
Suite 205B
Beverly Hills, CA 90210-5027

Phone

(310) 275-2705

Fax

(310) 275-2701

NPI assigned

Aug 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael K Obeng, MD

Title

Ceo

Phone

(310) 275-2705

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1881028629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "SUITE 205B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-275-2705",
            "fax_number": "310-275-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "SUITE 205B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-275-2705",
            "fax_number": "310-275-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKO SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-275-2705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "AAAASF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF CLASS C",
            "identifier": "5250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Miglietta-Rothman, DDS
• Marian Mihail
• Victoria Mihich, M.F.T.
• Carrie Denise Mikkelson-Heredia, CRNA
• Miko Anesthesia Group
• Milart Pharmacy Inc
• Miles Madison D D S Inc
• Franklin C Milgrim, MD
• Millennium Health Group, a Professional Corporation
• Millennium Medical Associates Inc.

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.