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Miracle Care, Inc. dba The Medicine Shoppe

Debarred entity

Miracle Care, Inc. dba The Medicine Shoppe is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Miracle Care, Inc. dba The Medicine Shoppe				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License number(s): PHY 51652 · Provider number(s): 1710992367				[sources]
Registration number	not available				[sources]
Sector	Entity/Corporation				[sources]
Address	19225 Ventura Blvd., Tarzana, CA, 91356				[sources]
Last change	2024-11-07	Last processed	2024-11-07	First seen	2024-11-07

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2020-06-18	-

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

United States · DHCS

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