Ardmore Medical Group

NPI #1871680157 in Maywood, California

Provider Information

NPI Number: 1871680157
Entity Type: Organization
Organization Name: Ardmore Medical Group
Primary Specialty: Physician Assistant
Enumeration Date: Oct 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5953 ATLANTIC BLVD
City: Maywood
State: California
ZIP Code: 90270
Phone: (323) 562-6170

Authorized Official

Name: ALAN K KIMS, MD
Title: PRESIDENT MD
Phone: (323) 562-6170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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