Provider Demographics
NPI:1114109121
Name:PUBLIC HEALTH FOUNDATION ENTERPRISES INC
Entity Type:Organization
Organization Name:PUBLIC HEALTH FOUNDATION ENTERPRISES INC
Other - Org Name:HELUNA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:562-222-7896
Mailing Address - Street 1:13300 CROSSROADS PKWY N STE 450
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91746-3405
Mailing Address - Country:US
Mailing Address - Phone:800-201-7320
Mailing Address - Fax:562-222-7680
Practice Address - Street 1:13300 CROSSROADS PKWY N STE 450
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91746-3405
Practice Address - Country:US
Practice Address - Phone:800-201-7320
Practice Address - Fax:562-222-7680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty