| Whittier Fetterly Medical Clinic Inc. | |
|
4762 Whittier Blvd Los Angeles CA 90022-3026 | |
| (323) 269-4060 | |
| (323) 269-5284 |
| Full Name | Whittier Fetterly Medical Clinic Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4762 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Juan C Ramirez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3232694060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whittier Fetterly Medical Clinic Inc. 4762 Whittier Blvd Los Angeles CA 90022-3026 Ph: (323) 269-4060 | Whittier Fetterly Medical Clinic Inc. 4762 Whittier Blvd Los Angeles CA 90022-3026 Ph: (323) 269-4060 |
| NPI Number | 1023151040 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023151040 | NPI | - | NPPES |
| 00A400700 | Medicaid | CA | |
| A90483 | Other | CA | CA MED BD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A90483 (California) | Primary |
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