El Milagro Family Medical Care Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EL MILAGRO FAMILY MEDICAL CARE INC.

Doing business as

El Milagro Family Medical Group Inc.

Practice address

2321 W Whittier Blvd
Montebello, CA 90640-3006

Phone

(323) 516-0060

Fax

(323) 516-0028

NPI assigned

Oct 31, 2020

Last updated

Apr 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph G Kuon, MDNPI 1780045898

Title

Ceo

Phone

(323) 516-0060

Specialties & licenses 1

Addresses

Other names 1

• El Milagro Family Medical Group Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph Kuon, M.D

  • Primary Care Clinic/Center
  • Whittier, CA
  • NPI 1780045898
  Medicare reassignment Authorized official
• Rivellino Alberto Aguilar, PHYSICIAN ASSISTANT

  • Physician Assistant
  • South Gate, CA
  • NPI 1346361888
  Medicare reassignment

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1386244952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403006",
            "telephone_number": "323-516-0060",
            "fax_number": "323-516-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403006",
            "telephone_number": "323-516-0060",
            "fax_number": "323-516-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MILAGRO FAMILY MEDICAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-31",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "KUON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-516-0060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Milagro Family Medical Group Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Milagro Family Medical Group Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.