Organization
ARDMORE MEDICAL GROUP
Active
Other names
Clinica Humanitaria
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA L LOPEZ (BILLING MANAGER)
(323) 562-6170
Entity
Organization
Contact information
Practice address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270
(323) 562-6170
(323) 562-6176
Mailing address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270
(323) 562-6170
(323) 562-6176
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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