Organization
THE INDUSTRIAL CLINIC AT MONTCLAIR, A MED CORP
Active
Other names
Concourse Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK X WU M.D (PHYSICIAN)
(626) 289-9004
Entity
Organization
Contact information
Practice address
18575 GALE AVE STE 198, CITY OF INDUSTRY, CA 91748-1382
(626) 289-9004
Mailing address
55 S RAYMOND AVE STE 105, ALHAMBRA, CA 91801-7100
(626) 289-9004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A32175
CA
208D00000X
General Practice Physician
A69486
CA
Other
Enumeration date
04/18/2007
Last updated
09/11/2025
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