Organization
MID-WILSHIRE HEALTH INC
Active
Other names
986 pharmacy #8007
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL GONG PHARM D (CEO)
(310) 780-0735
Entity
Organization
Contact information
Practice address
1809 VERDUGO BLVD STE 110, GLENDALE, CA 91208-1402
(818) 928-1304
Mailing address
2106 YOSEMITE DR, LOS ANGELES, CA 90041-2702
(310) 780-0735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us