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
3500 E WHITTIER BLVD, 105, LOS ANGELES, CA 90023
(323) 262-8100
(323) 262-2146
Mailing address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270
(323) 562-6170
(323) 562-6176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
521599
CA
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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