# THE INDUSTRIAL CLINIC AT MONTCLAIR, A MED CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Concourse Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447476064
- **Authorized official:** DR. JACK X WU M.D (PHYSICIAN)
- **Authorized official phone:** (626) 289-9004

## Contact information

- **Practice address:** 18575 GALE AVE STE 198, CITY OF INDUSTRY, CA 91748-1382
- **Practice address phone:** (626) 289-9004
- **Mailing address:** 55 S RAYMOND AVE STE 105, ALHAMBRA, CA 91801-7100
- **Mailing address phone:** (626) 289-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A32175 | CA | Yes |
| 208D00000X | General Practice Physician | A69486 | CA | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 09/11/2025