| Walnut Medical Group | |
|
19687 Valley Blvd Walnut CA 91789-2146 | |
| (909) 598-5228 | |
| (909) 598-9021 |
| Full Name | Walnut Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 19687 Valley Blvd, Walnut, California |
| Authorized Official Name and Position | Seung Kook Chang (PRESIDENT) |
| Authorized Official Contact | 9095985228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Medical Group 19687 Valley Blvd Walnut CA 91789-2146 Ph: (909) 598-5228 | Walnut Medical Group 19687 Valley Blvd Walnut CA 91789-2146 Ph: (909) 598-5228 |
| NPI Number | 1679874309 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679874309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A35067 (California) | Primary |
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