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ARDMORE MEDICAL GROUP NPI 1871680157


NPI Information

NPI: 1871680157
Provider Name: ARDMORE MEDICAL GROUP

Doing Business As: CLINICA HUMANITARIA

Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
5953 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270
Phone: (323) 562-6170
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ARDMORE MEDICAL GROUP is a physician assistant in Maywood, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. ARDMORE MEDICAL GROUP NPI is 1871680157. 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:

5953 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270
Phone: (323) 562-6170
Fax: (323) 562-6176

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

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA11139CALIFORNIAYes

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: 4/28/2024

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