Ardmore Medical Group

Organization Active NPI Advanced Practice Midwife · Maywood, CA

NPI 1134211832 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1134211832
Entity type
Organization (NPI type 2)
Primary specialty
Advanced Practice Midwife 367A00000X
License
301212 (CA)
Legal business name
ARDMORE MEDICAL GROUP
Practice address
5953 Atlantic Blvd
Maywood, CA 90270
Phone
(323) 562-6170
Fax
(323) 562-6176
NPI assigned
Sep 29, 2006
Organization subpart
No

Authorized official

Name
Alan K Kims, MD
Title
President MD
Phone
(323) 562-6170

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ardmore Medical Group (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife
Group: 193400000X SINGLE SPECIALTY GROUP
367A00000X 301212 CA Yes

Addresses

Primary practice location

5953 Atlantic Blvd
Maywood, CA 90270

Mailing address

5953 Atlantic Blvd
Maywood, CA 90270
Phone (323) 562-6170

Other names

  • Clinica Humanitaria Doing business as

Other providers in Maywood, CA

All providers in Maywood, CA · Advanced Practice Midwife in California

Sources for this page

Verify at the official NPI Registry.