Diversify Medical Group, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A34714 Issued in CA

Legal business name

DIVERSIFY MEDICAL GROUP, INC.

Practice address

3318 Del Mar Ave
Suite 205
Rosemead, CA 91770-2373

Phone

(626) 571-5577

Fax

(626) 571-7405

NPI assigned

Jun 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

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, M.D.NPI 1073565461

Title

President

Phone

(626) 571-5577

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ming Chang Hsu, M.D.

  • General Practice Physician
  • Rosemead, CA
  • NPI 1073565461
  Authorized official Same address or phone

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447454061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 DEL MAR AVE",
            "address_2": "SUITE 205",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702373",
            "telephone_number": "626-571-5577",
            "fax_number": "626-571-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 DEL MAR AVE",
            "address_2": "SUITE 205",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702373",
            "telephone_number": "626-571-5577",
            "fax_number": "626-571-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "MING-CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-571-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A34714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying Ding
• Dinh Chiropractic Corp
• Christine Huongbuu Dinh, M.D.
• Robert Dinh, D.C
• Tam Marisa Dinh, NP
• DMG Community Medical Clinic
• Canh DO, PHARMD
• Janet DO, D.D.S.
• Kieu DO
• Phi Long DO, AGACNP

• Clinic/Center in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Clinic/Center 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.