WILSHIRE DISTRICT MEDICAL GROUP (NPI# 1104010248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104010248 |
| Entity Type | Organization |
| Organization Name | WILSHIRE DISTRICT MEDICAL GROUP |
| Practice Address |
925 S Atlantic Blvd Ste 106 Monterey Park CA 91754 |
| Mailing Address |
13521 Telegraph Rd Ste B Whittier CA 90605-3462 |
| Practice Telephone | 2134583132 |
| Practice Fax Number | 2132344542 |
| Mailing Telephone | 5629467571 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | DR. SIMON JIANG (PRESIDENT) |
| Authorized Official Telephone | 2134583132 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A69991 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A699911 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13521 Telegraph Rd Ste B, Whittier, CA 906053462 | 5629467571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447363692 | Wilshire District Medical Group | Pediatrics | 1314 Wilshire Blvd., Los Angeles, CA 90017-1705 | 2006-08-15 |
| Street Address |
925 S ATLANTIC BLVD STE 106 |
| City | MONTEREY PARK |
| State | CA |
| Zip Code | 91754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780638528 | Simon Jiang | Pediatrics | 925 S Atlantic Blvd Ste 106, Monterey Park, CA 91754-4734 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670734 | New Hope Medical Center | Acupuncturist | 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 | 2019-07-02 |
| 1326574302 | Jo Ann Dorothy I | Chiropractor | 257 W. Pomona Blvd, Monterey Park, CA 91754 | 2017-05-11 |
| 1134575517 | Julie Riesz Desmond | Pediatrics | 2000 Longhill Dr., Monterey Park, CA 91754 | 2016-05-04 |
| 1023480902 | Exporter Associates | Durable Medical Equipment & Medical Supplies | 855 W El Repetto Dr Unit 11c, Monterey Park, CA 91754 | 2015-10-30 |
| 1366889784 | Jane Chi Fan, Mft. Inc | Marriage & Family Therapist | 941 S. Atlantic Blvd., Suite 221, Monterey Park, CA 91754 | 2013-05-24 |
| 1740597574 | Stephen Wesley Pope | Contractor | 3800 Concours, Suite 350, Ontario, CA 91754 | 2010-08-31 |
| 1447573324 | Sok-yin Leung | Pediatrics | 748 Rodman Circle, Monterey Park, CA 91754 | 2010-03-08 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1609027770 | Cali Ho | Occupational Therapist | 600 N. Garfield Ave., Monterey Park, CA 91754 | 2008-10-07 |
| 1588812358 | Eric A Garcia | Dentist | 1900 So Atlantic Blvd, Suite 1, Monterey Park, CA 91754 | 2008-09-04 |
| Find all providers in zip 91754 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699176586 | Temple Medical Associates | Clinic/Center | 2063 S Atlantic Blvd, Suite B, Monterey Park, CA 91754-6344 | 2014-09-10 |
| 1932455789 | Associated Hispanic Physicians Medical Group Inc | Clinic/Center | 880 S Atlantic Blvd, Suite 302, Monterey Park, CA 91754-4700 | 2012-07-31 |
| 1235494949 | Annie Vo Le Md Inc | Clinic/Center | 1101 E Garvey Ave, #104, Monterey Park, CA 91755-3056 | 2012-07-09 |
| 1962491480 | Healthcare Medical Pharmacy Inc | Clinic/Center | 420 N Garfield Ave, Suite 101, Monterey Park, CA 91754-1206 | 2005-10-18 |
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| Find all providers with the same taxonomy | ||||
| City | MONTEREY PARK |
| Zip Code | 91754 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.