# ARDMORE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Humanitaria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992873947
- **Authorized official:** ALMA L LOPEZ (BILLING MANAGER)
- **Authorized official phone:** (323) 562-6170

## Contact information

- **Practice address:** 5953 ATLANTIC BLVD, MAYWOOD, CA 90270
- **Practice address phone:** (323) 562-6170
- **Practice address fax:** (323) 562-6176
- **Mailing address:** 5953 ATLANTIC BLVD, MAYWOOD, CA 90270
- **Mailing address phone:** (323) 562-6170
- **Mailing address fax:** (323) 562-6176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 09/11/2025