Provider Demographics
NPI:1588856249
Name:WHITTIER PREGNANCY CARE CLINIC
Entity Type:Organization
Organization Name:WHITTIER PREGNANCY CARE CLINIC
Other - Org Name:OBRIA MEDICAL CLINICS LOS ANGELES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUIPHOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-777-4468
Mailing Address - Street 1:16147 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2560
Mailing Address - Country:US
Mailing Address - Phone:562-902-3803
Mailing Address - Fax:562-902-7847
Practice Address - Street 1:16147 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2560
Practice Address - Country:US
Practice Address - Phone:562-902-2273
Practice Address - Fax:562-902-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1588856249Medicaid