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Organization
LA MILAGROSA MEDICAL CENTER, INC.
Active
Organization
LA MILAGROSA MEDICAL CENTER, INC.
Active
Other names
La Milagrosa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C. HERNANDEZ M.D. (PRESIDENT)
(323) 581-5120
Entity
Organization
Contact information
Practice address
7301 STATE ST, HUNTINGTON PARK, CA 90255-5823
(323) 581-5120
Mailing address
7301 STATE ST, HUNTINGTON PARK, CA 90255-5823
(323) 581-5120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
11/18/2015
Last updated
02/12/2016
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