ARDMORE MEDICAL GROUP INC NPI 1124189212

NPI Information

ARDMORE MEDICAL GROUP INC is a general practice in Los Angeles, CA. ARDMORE MEDICAL GROUP INC NPI is 1124189212. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Humanitaria.

The provider's business location address is:

3518 W 8TH ST
LOS ANGELES, CA
ZIP 90005-902
Phone: (213) 384-9949
Fax: (213) 384-2530

The provider's authorized official is Alan K Kims .
The authorized official title is President and has the following contact phone number (323) 562-6170.

The CLIA number assigned to this NPI record is 05D0889236 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 4/30/2015.

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:

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