# WHITTIER FETTERLY MEDICAL CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023151040
- **Authorized official:** JUAN C RAMIREZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (323) 269-4060

## Contact information

- **Practice address:** 4762 WHITTIER BLVD, LOS ANGELES, CA 90022-3026
- **Practice address phone:** (323) 269-4060
- **Practice address fax:** (323) 269-5284
- **Mailing address:** 4762 WHITTIER BLVD, LOS ANGELES, CA 90022-3026
- **Mailing address phone:** (323) 269-4060
- **Mailing address fax:** (323) 269-5284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A90483 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 11/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A400700 | — | CA |
| 01 | — | A90483 | CA MED BD | CA |