HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC NPI 1033304894

NPI Information

  • NPI: 1033304894
  • Provider Name: HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: CLINICA SANTA MARIA ECHO PARK
  • CLIA Number: 05D1050936
  • Address: 625 W COLLEGE ST STE 105
    LOS ANGELES, CA
    ZIP 90012
  • Phone: (213) 265-7433

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NPI Details

HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC NPI is 1033304894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Santa Maria Echo Park.

The provider's business location address is:

625 W COLLEGE ST STE 105
LOS ANGELES, CA
ZIP 90012-650
Phone: (213) 265-7433
Fax: (213) 265-7531

The provider's authorized official is Lu-wei King .
The authorized official title is Medical Director and has the following contact phone number (213) 482-4400.

The CLIA number assigned to this NPI record is 05D1050936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 7/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA50695CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11033304894MEDICAIDCALIFORNIA
2DM453AOTHERCALIFORNIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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