Provider Demographics
NPI:1720383029
Name:WCHS
Entity Type:Organization
Organization Name:WCHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSING NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:GAY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:SOUNIER
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:951-894-5072
Mailing Address - Street 1:40700 CALIFORNIA OAKS RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5789
Mailing Address - Country:US
Mailing Address - Phone:951-894-5072
Mailing Address - Fax:951-894-7324
Practice Address - Street 1:40700 CALIFORNIA OAKS RD STE 202
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5789
Practice Address - Country:US
Practice Address - Phone:951-894-5072
Practice Address - Fax:951-894-7324
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMECULA VALLEY OUTPATIENT CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization