Provider Demographics
NPI:1629566955
Name:WHITTIER HILLS SURGICAL CENTER
Entity Type:Organization
Organization Name:WHITTIER HILLS SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NISHIKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-751-4407
Mailing Address - Street 1:8135 PAINTER AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3158
Mailing Address - Country:US
Mailing Address - Phone:951-751-4407
Mailing Address - Fax:
Practice Address - Street 1:8135 PAINTER AVE STE 105
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3158
Practice Address - Country:US
Practice Address - Phone:951-751-4407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical