ARDMORE MEDICAL GROUP
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1871680157- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5953 ATLANTIC BLVD, MAYWOOD, CA, 90270
- Phone
- (323) 562-6170
- Fax
- (323) 562-6176
Specialties & Taxonomies
Physician Assistant
Primary License: CA #PA11139