Provider Demographics
NPI:1407241318
Name:WHITTIER NURSING AND WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:WHITTIER NURSING AND WELLNESS CENTER, INC
Other - Org Name:WHITTIER NURSING AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-693-5618
Mailing Address - Street 1:7926 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2413
Mailing Address - Country:US
Mailing Address - Phone:562-693-5618
Mailing Address - Fax:562-698-4816
Practice Address - Street 1:7926 PAINTER AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2413
Practice Address - Country:US
Practice Address - Phone:562-693-5618
Practice Address - Fax:562-698-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555787Medicare Oscar/Certification