Organization
DIVERSIFY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MING-CHANG HSU M.D. (PRESIDENT)
(626) 571-5577
Entity
Organization
Contact information
Practice address
3318 DEL MAR AVE, SUITE 205, ROSEMEAD, CA 91770-2373
(626) 571-5577
(626) 571-7405
Mailing address
3318 DEL MAR AVE, SUITE 205, ROSEMEAD, CA 91770-2373
(626) 571-5577
(626) 571-7405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A34714
CA
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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