OrganizationActive
County of Los Angeles
NPI 1770608333 · Clinic Pharmacy · Wilmington, CA
Provider details
- NPI number
- 1770608333
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Peter Chen, Acting Chief Administrative Officer(562) 599-8723
- License
- PHE42177 (CA)
Specialties & taxonomies
Suppliers
Practice location
1325 Broad Ave
Wilmington, CA 90744-2604
Phone: (310) 518-8827
Fax: (310) 816-3002
Approximate (ZIP-level) locationGet directions
Mailing address
1325 Broad Ave
Wilmington, CA 90744-2604
Other names (DBA / former)
- Doing business as
- Los Angeles Co Wilmington Hlth Ctr Phy
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.