Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wilshire District Medical Group

Organization Pediatrics Physician · NPI 1447363692

Wilshire District Medical Group provides Pediatrics Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1314 Wilshire Blvd
Los Angeles, CA 90017-1705
Phone: (213) 384-5132
Fax: (213) 234-4542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A69991 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A69991 (CA)

Record details

NPI number1447363692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Jiang — Ceo · (213) 384-5132
NPI enumeratedAugust 15, 2006
Last updated in NPPESOctober 3, 2017
Mailing address13521 Telegraph Rd Ste B, Whittier, CA 90605-3462

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