Organization
ARDMORE MEDICAL GROUP
Active
Other names
Clinica Humanitar
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN K KIMS MD (PRESIDENT MD)
(323) 562-6170
Entity
Organization
Contact information
Practice address
3564 A SANTA ANITA AVE, EL MONTE, CA 91731
(626) 350-8101
(626) 442-0196
Mailing address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270
(323) 562-6170
(323) 562-6176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A44265
CA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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