# ETERNAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174746135
- **Authorized official:** DR. MING CHANG HSU (CEO)
- **Authorized official phone:** (626) 280-8856

## Contact information

- **Practice address:** 311 E VALLEY BLVD STE 102, SAN GABRIEL, CA 91776-3554
- **Practice address phone:** (626) 280-8856
- **Mailing address:** 311 E VALLEY BLVD STE 102, SAN GABRIEL, CA 91776-3554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A34714 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020