Organization
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Active
Parent organization
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Other names
CLINICA SANTA MARIA ECHO PARK
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)
(213) 482-4400
Entity
Organization
Contact information
Practice address
625 W COLLEGE ST STE 105, LOS ANGELES, CA 90012-1650
(213) 265-7433
(213) 265-7531
Mailing address
1571 W SUNSET BLVD, LOS ANGELES, CA 90026-3333
(213) 482-4400
(213) 482-5100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033304894
—
CA
01
—
DM453A
MEDICARE PTAN
CA
Enumeration date
09/13/2007
Last updated
07/04/2023
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