La Milagrosa Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LA MILAGROSA MEDICAL CENTER, INC.

Practice address

7301 State St
Huntington Park, CA 90255-5823

Phone

(323) 581-5120

NPI assigned

Nov 18, 2015

Last updated

Feb 12, 2016By 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

Maria C. Hernandez, M.D.

Title

President

Phone

(323) 581-5120

Specialties & licenses 2

Addresses

Other names 1

• La Milagrosa Medical Center Other name

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1962876615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555823",
            "telephone_number": "323-581-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555823",
            "telephone_number": "323-581-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MILAGROSA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-581-5120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Milagrosa Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.