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WILSHIRE DISTRICT MEDICAL GROUP
NPI 1447363692
General Practice in Los Angeles, CA

Active since August 15, 2006
1314 WILSHIRE BLVD., LOS ANGELES, CA 90017(213) 384-5132(213) 234-4542 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 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 1447363692) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2006. The organization lists Simon Jiang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447363692
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWILSHIRE DISTRICT MEDICAL GROUP
Location Address1314 WILSHIRE BLVD.Los Angeles, CA 90017-1705
Mailing Address13521 Telegraph Rd Ste BWhittier, CA 90605-3462 · (562) 946-7571 · Fax (213) 234-4542
Phone(213) 384-5132
Fax(213) 234-4542
Organization SubpartNo
Authorized OfficialSimon JiangCeo · (213) 384-5132
Enumeration DateAugust 15, 2006
Last NPPES UpdateOctober 3, 2017
✔ NPI 1447363692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A69991
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License A69991 (CA)
1314 WILSHIRE BLVD., Los Angeles, CA 90017
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Other Identifiers 3

Medicaid00A699910CA
Medicare NSC4651510001CA
Medicare ID-Type UnspecifiedW16118

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1447363692. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Wilshire District Medical Group located?

Wilshire District Medical Group is located at 1314 Wilshire Blvd., Los Angeles, CA 90017. The listed phone number is (213) 384-5132.

What is Wilshire District Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wilshire District Medical Group was last updated on October 3, 2017. 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.