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WILSHIRE DISTRICT MEDICAL GROUP
NPI 1104010248
Clinic/Center in Monterey Park, CA

Active since August 31, 2007
925 S ATLANTIC BLVD STE 106, MONTEREY PARK, CA 91754(213) 458-3132(213) 234-4542 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilshire District Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSHIRE DISTRICT MEDICAL GROUP (NPI 1104010248) is a healthcare organization registered as a clinic/center in Monterey Park, California and active in the NPI registry since August 2007. The organization maintains a secondary practice location in Whittier and lists Simon Jiang, President, as its authorized official.

NPPES Registry Identity

NPI1104010248
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWILSHIRE DISTRICT MEDICAL GROUP
Location Address925 S ATLANTIC BLVD STE 106Monterey Park, CA 91754
Mailing Address13521 Telegraph Rd Ste BWhittier, CA 90605-3462 · (562) 946-7571
Phone(213) 458-3132
Fax(213) 234-4542
Organization SubpartNo
Authorized OfficialSimon JiangPresident · (213) 458-3132
Enumeration DateAugust 31, 2007
Last NPPES UpdateMay 29, 2018
✔ NPI 1104010248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A69991
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).
925 S ATLANTIC BLVD STE 106, Monterey Park, CA 91754
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Secondary Practice Location 1

Location 113521 Telegraph Rd Ste BWhittier, CA 90605-3462 · Phone (562) 946-7571

Other Identifiers 1

Medicaid00A699911CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMON JIANG M.D
General Practice
925 S ATLANTIC BLVD STE 106
MONTEREY PARK, CA 91754
Los Angeles County (213) 458-3132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilshire District Medical Group's NPI number?

The NPI number for Wilshire District Medical Group is 1104010248. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Wilshire District Medical Group located?

Wilshire District Medical Group is located at 925 S Atlantic Blvd Ste 106, Monterey Park, CA 91754. The listed phone number is (213) 458-3132.

What is Wilshire District Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Wilshire District Medical Group was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.