Organization
WHITTIER FETTERLY MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C RAMIREZ M.D. (MEDICAL DIRECTOR)
(323) 269-4060
Entity
Organization
Contact information
Practice address
4762 WHITTIER BLVD, LOS ANGELES, CA 90022-3026
(323) 269-4060
(323) 269-5284
Mailing address
4762 WHITTIER BLVD, LOS ANGELES, CA 90022-3026
(323) 269-4060
(323) 269-5284
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A90483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A400700
—
CA
01
—
A90483
CA MED BD
CA
Enumeration date
02/15/2007
Last updated
11/16/2012
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