Organization
CLARIS HEALTH
Active
Other names
Westside Pregnancy Resource Ctr.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TALITHA J PHILLIPS (CEO)
(310) 268-8111
Entity
Organization
Contact information
Practice address
11500 W. OLYMPIC BLVD., SUITE 570, LOS ANGELES, CA 90064
(310) 268-8400
(310) 268-8088
Mailing address
11500 W. OLYMPIC BLVD, SUITE 560, LOS ANGELES, CA 90064
(310) 268-8111
(310) 268-8112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
960001442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM71042F
MEDI-CAL
CA
01
—
D1989301
MEDI-CAL PE PROGRAM
—
Enumeration date
10/10/2006
Last updated
12/05/2023
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