Healthcare Provider Details

I. General information

NPI: 1578453627
Provider Name (Legal Business Name): NON-PROFIT A GREATER LOVE FOSTER FAMILY AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7731 PAINTER AVE
WHITTIER CA
90602-2411
US

IV. Provider business mailing address

7731 PAINTER AVE
WHITTIER CA
90602-2411
US

V. Phone/Fax

Practice location:
  • Phone: 562-922-4568
  • Fax: 562-466-1904
Mailing address:
  • Phone: 562-922-4568
  • Fax: 562-466-1904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH VIRAMONTES
Title or Position: CEO
Credential: MS
Phone: 562-922-4568