Wilshire District Medical Group
Clinic/Center in Monterey Park, CA. Organization (NPI-2).
NPI number1104010248
StatusActive
Last updated in NPPESMay 29, 2018
Details
- NPI
- 1104010248
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilshire District Medical Group
- Organization subpart
- No
- Enumeration date
- Aug 31, 2007
- Last updated
- May 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A69991 | CA | Yes |
Practice location
925 S Atlantic Blvd Ste 106Monterey Park, CA 91754
Phone 213-458-3132 · Fax 213-234-4542
Mailing address
13521 Telegraph Rd Ste BWhittier, CA 90605-3462
Phone 562-946-7571
Other practice locations
13521 Telegraph Rd Ste B
Whittier, CA 90605-3462
Whittier, CA 90605-3462
Phone 562-946-7571
Authorized official
Simon Jiang
President
2134583132
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