| The Whole Child | |
|
10155 Colima Rd Whittier CA 90603-2063 | |
| (562) 692-0383 | |
| Not Available |
| Full Name | The Whole Child |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10155 Colima Rd, Whittier, California |
| Authorized Official Name and Position | Stacy Enomoto (CFO) |
| Authorized Official Contact | 5626920383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Whole Child 10155 Colima Rd Whittier CA 90603-2063 Ph: (562) 692-0383 | The Whole Child 10155 Colima Rd Whittier CA 90603-2063 Ph: (562) 692-0383 |
| NPI Number | 1861517112 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861517112 | NPI | - | NPPES |
| 01271700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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