Organization · Type 2 NPI

County of Los Angeles Auditor Controller

Clinic/Center · Wilmington, CA

NPI number 1740319201 Active

Practice location

1325 Broad Ave
Wilmington, CA 90744-2604

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

21 other providers at this address

Other clinic/center providers in Wilmington

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NPI record

NPI: 1740319201
Entity type: Organization (Type 2)
Issued: Mar 2, 2007
Last updated: Apr 20, 2008
Status: Active
Subpart: Yes of County of Los Angeles Auditor Controller

Other names

<unavail>
Wilmington Subcenter · doing business as

Authorized official

Mr. Miguel Ortiz-Marroquin
Interim Chief Executive Officer
(310) 222-2104

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740319201

County of Los Angeles Auditor Controller's National Provider Identifier is 1740319201, issued on Mar 2, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wilmington, CA. The record was last updated on Apr 20, 2008.