Provider Demographics
NPI:1437211547
Name:HUDSON HEALTH CENTER
Entity Type:Organization
Organization Name:HUDSON HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARDMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-744-3750
Mailing Address - Street 1:3760 SHADOW GROVE RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-2239
Mailing Address - Country:US
Mailing Address - Phone:626-351-1034
Mailing Address - Fax:626-351-8772
Practice Address - Street 1:2829 S GRAND AVE
Practice Address - Street 2:HUDSON HEALTH CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-3304
Practice Address - Country:US
Practice Address - Phone:213-744-3743
Practice Address - Fax:213-744-6884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAO37871261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local