Diversify Medical Group, Inc. | |
3318 Del Mar Ave Suite 205 Rosemead CA 91770-2373 | |
(626) 571-5577 | |
(626) 571-7405 |
Full Name | Diversify Medical Group, Inc. |
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Speciality | Clinic/center |
Location | 3318 Del Mar Ave, Rosemead, California |
Authorized Official Name and Position | Ming-chang Hsu (PRESIDENT) |
Authorized Official Contact | 6265715577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diversify Medical Group, Inc. 3318 Del Mar Ave Suite 205 Rosemead CA 91770-2373 Ph: (626) 571-5577 | Diversify Medical Group, Inc. 3318 Del Mar Ave Suite 205 Rosemead CA 91770-2373 Ph: (626) 571-5577 |
NPI Number | 1447454061 |
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Provider Enumeration Date | 06/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447454061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A34714 (California) | Primary |
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