Provider Demographics
NPI:1528887908
Name:WHITTIER SUNLITE HEALTH CENTER, A MEDICAL CORPORATION, PC
Entity type:Organization
Organization Name:WHITTIER SUNLITE HEALTH CENTER, A MEDICAL CORPORATION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSOCIATE
Authorized Official - Phone:323-406-2297
Mailing Address - Street 1:3712 WHITTIER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90023-1733
Mailing Address - Country:US
Mailing Address - Phone:323-406-2297
Mailing Address - Fax:213-466-2906
Practice Address - Street 1:3712 WHITTIER BLVD STE B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-1733
Practice Address - Country:US
Practice Address - Phone:323-406-2297
Practice Address - Fax:213-466-2906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty