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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).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X |
| NPI # | 1104010248 |
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| LBN Legal business name | WILSHIRE DISTRICT MEDICAL GROUP | ||||||||
| Authorized official | SIMON JIANG - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/31/2007 | ||||||||
| Last updated | 05/29/2018 - About 8 years ago | ||||||||
| Identifiers |
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WILSHIRE DISTRICT MEDICAL GROUP
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WILSHIRE DISTRICT MEDICAL GROUP