# LOS ANGELES COUNTY - WIDNEY MTU

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497939193
- **Authorized official:** MR. WESLEY L FORD M.A., M.P.H. (DIRECTOR)
- **Authorized official phone:** (626) 569-6001

## Contact information

- **Practice address:** 2302 S GRAMERCY PL, LOS ANGELES, CA 90018-1323
- **Practice address phone:** (323) 731-8442
- **Practice address fax:** (323) 733-2486
- **Mailing address:** 9320 TELSTAR AVE STE 226, EL MONTE, CA 91731-2816
- **Mailing address phone:** (800) 288-4584
- **Mailing address fax:** (626) 569-6480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007