Organization
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Active
Parent organization
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Other names
Huntington Park Clinica Santa Maria
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Authorized official
LU-WEI KING MD (MEDICAL DIRECTOR)
(760) 256-6680
Entity
Organization
Contact information
Practice address
2680 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 581-4665
(323) 581-0551
Mailing address
2680 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 581-4665
(323) 581-0551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023203882
—
CA
01
—
DM453A
MEDICARE PTAN
CA
Enumeration date
09/13/2007
Last updated
07/04/2023
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