Organization · Type 2 NPI

Whitehead Family Wellness Clinic

Primary Care Nurse Practitioner · Los Angeles, CA

NPI number 1053179911 Active

Practice location

12813 Avalon Blvd
Los Angeles, CA 90061-2731

Call (310) 819-8310 Map

Fax (310) 819-8178

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

Other primary care nurse practitioner providers in Los Angeles

See all in Los Angeles →

About NPI 1053179911

Whitehead Family Wellness Clinic's National Provider Identifier is 1053179911, issued on Mar 6, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 6, 2024.