National Provider Identifier Database

WILSHIRE DISTRICT MEDICAL GROUP
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).


Contact Information

WILSHIRE DISTRICT MEDICAL GROUP
925 S ATLANTIC BLVD STE 106
MONTEREY PARK, CA91754
Phone: 213-458-3132
Fax: 213-234-4542
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for WILSHIRE DISTRICT MEDICAL GROUP

NPI Number 1104010248
Legal business name
LBN
WILSHIRE DISTRICT MEDICAL GROUP
Authorized official SIMON JIANG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/31/2007
Last updated 05/29/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A69991
  • CA Medicaid: 00A699911

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for WILSHIRE DISTRICT MEDICAL GROUP

There are currently no reviews for WILSHIRE DISTRICT MEDICAL GROUP


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