Provider Demographics
NPI:1356663454
Name:WHITTIER SURGICAL PARTNERS LLC
Entity Type:Organization
Organization Name:WHITTIER SURGICAL PARTNERS LLC
Other - Org Name:WHITTIER OUTPATIENT SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JEREMY
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-706-9900
Mailing Address - Street 1:8135 S. PAINTER AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3102
Mailing Address - Country:US
Mailing Address - Phone:562-698-6800
Mailing Address - Fax:562-698-8900
Practice Address - Street 1:8135 S. PAINTER AVE
Practice Address - Street 2:STE 103
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3102
Practice Address - Country:US
Practice Address - Phone:562-698-6800
Practice Address - Fax:562-698-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical