Eternal Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A34714 Issued in CA

Legal business name

ETERNAL MEDICAL GROUP

Practice address

311 E Valley Blvd Ste 102
San Gabriel, CA 91776-3554

Phone

(626) 280-8856

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ming Chang Hsu

Title

Ceo

Phone

(626) 280-8856

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yue Xing Pan, L.AC.

  • Acupuncturist
  • San Gabriel, CA
  • NPI 1164431581
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174746135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E VALLEY BLVD STE 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E VALLEY BLVD STE 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763554",
            "telephone_number": "626-280-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "MING CHANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-280-8856",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A34714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.