Organization
ETERNAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MING CHANG HSU (CEO)
(626) 280-8856
Entity
Organization
Contact information
Practice address
311 E VALLEY BLVD STE 102, SAN GABRIEL, CA 91776-3554
(626) 280-8856
Mailing address
311 E VALLEY BLVD STE 102, SAN GABRIEL, CA 91776-3554
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A34714
CA
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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