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CLINICA SANTA MARIA ECHO PARK
NPI 1033304894
Specialist in Los Angeles, CA

Active since September 13, 2007CLIA 05D1050936 · Waiver
625 W COLLEGE ST STE 105, LOS ANGELES, CA 90012(213) 265-7433(213) 265-7531 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinica Santa Maria Echo Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA SANTA MARIA ECHO PARK (NPI 1033304894) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Lu-wei King, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033304894
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Location Address625 W COLLEGE ST STE 105Los Angeles, CA 90012-1650
Mailing Address1571 W Sunset BlvdLos Angeles, CA 90026-3333 · (213) 482-4400 · Fax (213) 482-5100
Phone(213) 265-7433
Fax(213) 265-7531
Organization SubpartYes
Authorized OfficialLu-wei KingMedical Director · (213) 482-4400
Enumeration DateSeptember 13, 2007
Last NPPES UpdateJuly 4, 2023
NPPES CertifiedJuly 4, 2023
✔ NPI 1033304894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A50695
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
625 W COLLEGE ST STE 105, Los Angeles, CA 90012
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Other Names 1

Doing Business AsClinica Santa Maria Echo Park

Other Identifiers 2

Medicaid1033304894CA
OtherDM453ACA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1050936

Clinica Santa Maria - Echo Park · Los Angeles, CA
Active · expires Sep 25, 2026
CLIA Number05D1050936
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorLu Wei King
Laboratory Phone(213) 265-7433
Laboratory LocationClinica Santa Maria - Echo Park625 W College St #105, Los Angeles, CA 90012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEITHA HAKANSON
Family Medicine
625 W COLLEGE ST STE 105
LOS ANGELES, CA 90012
Los Angeles County (213) 265-7433
DR. JOSE ROM GANATA JR. M.D.
Family Medicine
625 W COLLEGE ST STE 105
LOS ANGELES, CA 90012
Los Angeles County (213) 617-9157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Desert Womens Memorial Medical Center Apc's NPI number?

The NPI number for High Desert Womens Memorial Medical Center Apc is 1033304894. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Clinica Santa Maria Echo Park.

Where is High Desert Womens Memorial Medical Center Apc located?

High Desert Womens Memorial Medical Center Apc is located at 625 W College St Ste 105, Los Angeles, CA 90012. The listed phone number is (213) 265-7433.

What is High Desert Womens Memorial Medical Center Apc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does High Desert Womens Memorial Medical Center Apc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1050936) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for High Desert Womens Memorial Medical Center Apc was last updated on July 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.