| Organization Name: | LA MILAGROSA MEDICAL CENTER, INC. |
| NPI Number: | 1962876615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA C. HERNANDEZ (PRESIDENT) |
| Mailing Address: | 7301 State St Huntington Park |
| State: | CA US |
| Postal Code: | 902555823 |
| Phone Number: | 3235815120 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2015 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |