OrganizationActive
123 Medical Group Corp.
NPI 1588029771 · Family Medicine Physician · Walnut, CA
Provider details
- NPI number
- 1588029771
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Allan Chang, President
Practice location
18800 Amar Rd Ste C12
Walnut, CA 91789-4561
Phone: (626) 788-9691
Fax: (626) 608-0318
Mailing address
18800 Amar Rd Ste C12
Walnut, CA 91789-4561
Registry dates
- Enumerated
- 2015-12-15
- Last updated
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.