Healthcare Provider Details

I. General information

NPI: 1134373871
Provider Name (Legal Business Name): BRIGHT HEALTH PHYSICIANS OF PIH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 06/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7630 PAINTER AVE
WHITTIER CA
90602-2373
US

IV. Provider business mailing address

P O BOX 1277
WHITTIER CA
90609-1277
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-2206
  • Fax: 562-696-2584
Mailing address:
  • Phone: 562-906-6470
  • Fax: 562-946-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number70416
License Number StateCA

VIII. Authorized Official

Name: WILLIAM STIMMLER
Title or Position: PRESIDENT PHYSICIAN SERVICES
Credential: M.D.
Phone: 562-947-8478