| El Milagro Family Medical Group Inc. | |
|
2321 W Whittier Blvd Montebello CA 90640-3006 | |
| (323) 516-0060 | |
| (323) 516-0028 |
| Full Name | El Milagro Family Medical Group Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2321 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Ralph G Kuon (CEO) |
| Authorized Official Contact | 3235160060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Milagro Family Medical Group Inc. 2321 W Whittier Blvd Montebello CA 90640-3006 Ph: (323) 516-0060 | El Milagro Family Medical Group Inc. 2321 W Whittier Blvd Montebello CA 90640-3006 Ph: (323) 516-0060 |
| NPI Number | 1386244952 |
|---|---|
| Provider Enumeration Date | 10/31/2020 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 2264846948 |
|---|---|
| Medicare Enrollment ID | O20210121001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386244952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ralph Kuon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780045898 PECOS PAC ID: 5991119570 Enrollment ID: I20210121001923 |
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