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Contact Information

ARDMORE MEDICAL GROUP
5953 ATLANTIC BLVD
MAYWOOD, CA90270
 Phone: 323-562-6170
 Fax: 323-562-6176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for ARDMORE MEDICAL GROUP

NPI Number 1134211832
LBN Legal business name ARDMORE MEDICAL GROUP
Authorized official ALAN KIMS - (PRESIDENT MD)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 301212
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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