Provider Demographics
NPI:1689996100
Name:WESTERN UNIVERSITY OF HEALTH SCIENCES
Entity Type:Organization
Organization Name:WESTERN UNIVERSITY OF HEALTH SCIENCES
Other - Org Name:WESTERNU HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE AND QUALITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRENA
Authorized Official - Middle Name:LANELL
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, APRN, CIC
Authorized Official - Phone:909-706-3871
Mailing Address - Street 1:795 E. SECOND STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-2007
Mailing Address - Country:US
Mailing Address - Phone:909-706-3877
Mailing Address - Fax:909-706-3942
Practice Address - Street 1:795 E. SECOND STREET
Practice Address - Street 2:SUITE 7
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2007
Practice Address - Country:US
Practice Address - Phone:909-706-3877
Practice Address - Fax:909-706-3942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty