Healthcare Provider Details

I. General information

NPI: 1003026949
Provider Name (Legal Business Name): W.S. GROUP CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 S ATLANTIC BLVD
MONTEREY PARK CA
91754-4733
US

IV. Provider business mailing address

1043 E MAIN ST
ALHAMBRA CA
91801-4110
US

V. Phone/Fax

Practice location:
  • Phone: 626-308-3861
  • Fax: 626-308-3867
Mailing address:
  • Phone: 626-328-2338
  • Fax: 626-281-6618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: WILLIAM WU
Title or Position: PRESIDENT
Credential:
Phone: 626-282-3382