Provider Demographics
NPI:1083022867
Name:WHITTIER RIO HONDO AIDS PROJECT
Entity Type:Organization
Organization Name:WHITTIER RIO HONDO AIDS PROJECT
Other - Org Name:CHRISTOPHER WAHL YOUTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:URETA
Authorized Official - Last Name:MENDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-693-2247
Mailing Address - Street 1:12401 SLAUSON AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2830
Mailing Address - Country:US
Mailing Address - Phone:562-693-2247
Mailing Address - Fax:562-945-7264
Practice Address - Street 1:12401 SLAUSON AVE
Practice Address - Street 2:SUITE G
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2830
Practice Address - Country:US
Practice Address - Phone:562-693-2247
Practice Address - Fax:562-945-7264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health