Healthcare Provider Details

I. General information

NPI: 1558209973
Provider Name (Legal Business Name): MIRACLE TOUCH NOHO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10876 RIVERSIDE DR
NORTH HOLLYWOOD CA
91602-2236
US

IV. Provider business mailing address

10876 RIVERSIDE DR
NORTH HOLLYWOOD CA
91602-2236
US

V. Phone/Fax

Practice location:
  • Phone: 747-977-3267
  • Fax: 747-977-3426
Mailing address:
  • Phone: 747-977-3267
  • Fax: 747-977-3426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HOVHANNES KURGHINYAN
Title or Position: PRESIDENT
Credential: MD
Phone: 323-673-7200