Organization
ARDMORE MEDICAL GROUP
Active
Other names
Clinica Humanitaria
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN K KIMS MD (PRESIDENT MD)
(323) 562-6170
Entity
Organization
Contact information
Practice address
2765 E FLORENCE AVE, HUNTINGTON PARK, CA 90255
(323) 588-6888
(323) 588-0087
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
G77436
CA
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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