OrganizationActive
Wilshire District Medical Group
NPI 1104010248 · Clinic/Center · Monterey Park, CA
Provider details
- NPI number
- 1104010248
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Simon Jiang, President(213) 458-3132
- License
- A69991 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
925 S Atlantic Blvd Ste 106
Monterey Park, CA 91754
Phone: (213) 458-3132
Fax: (213) 234-4542
Street-level locationGet directions
Mailing address
13521 Telegraph Rd Ste B
Whittier, CA 90605-3462
Additional practice locations (1)
- 13521 Telegraph Rd Ste BWhittier, CA 90605-3462Phone: (562) 946-7571
Registry dates
- Enumerated
- 2007-08-31
- Last updated
- 2018-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.