Provider Demographics
NPI:1003026949
Name:W.S. GROUP CORPORATION
Entity Type:Organization
Organization Name:W.S. GROUP CORPORATION
Other - Org Name:W.S. ADULT DAY HEALTH CARE CENTER M.P.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-282-3382
Mailing Address - Street 1:1043 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4110
Mailing Address - Country:US
Mailing Address - Phone:626-328-2338
Mailing Address - Fax:626-281-6618
Practice Address - Street 1:863 S ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4733
Practice Address - Country:US
Practice Address - Phone:626-308-3861
Practice Address - Fax:626-308-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAADU70300FOtherMEDI-CAL PROVIDER NUMBER