La Milagrosa Medical Center, Inc.

NPI #1962876615 in Huntington Park, California

Provider Information

NPI Number: 1962876615
Entity Type: Organization
Organization Name: La Milagrosa Medical Center, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Nov 18, 2015
Last Updated: Feb 12, 2016

Practice Location

Address: 7301 STATE ST
City: Huntington Park
State: California
ZIP Code: 90255-5823
Phone: (323) 581-5120

Authorized Official

Name: MARIA C. HERNANDEZ, M.D.
Title: PRESIDENT
Phone: (323) 581-5120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X	Primary

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