institution
Wilshire District Medical Group
Clinic/Center in Monterey Park, California
NPI 1104010248

Wilshire District Medical Group is a Clinic/Center based in Whittier, CA. Wilshire District Medical Group practices in Monterey Park, CA. The NPI Number for Wilshire District Medical Group is 1104010248 and holds a License No. A69991 (California).

The current practice location address for Wilshire District Medical Group is 925 S Atlantic Blvd Ste 106, Monterey Park, CA and can be reached out via phone at 213-458-3132 and via fax at 213-234-4542.

Location: 925 S Atlantic Blvd Ste 106, Monterey Park, CA, 90605-3462
institution
Provider Profile Details
NPI Number
1104010248
Provider Name
Wilshire District Medical Group
Credential
Provider Entity Type
Organization
Address
925 S Atlantic Blvd Ste 106, Monterey Park, CA, 90605-3462
Phone Number
213-458-3132
Fax Number
213-234-4542
Provider Enumeration Date
08/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A699911 05 CA
institution
Provider Business Practice Location Address Details
Address
925 S Atlantic Blvd Ste 106
City
State
Zip
91754
Phone Number
213-458-3132
Fax Number
213-234-4542
person
Provider Business Mailing Address Details
Address
925 S Atlantic Blvd Ste 106
City
State
Zip
91754
Phone Number
213-458-3132
Fax Number
213-234-4542
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
A69991 (California)
Definition
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).
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