Healthcare Provider Details

I. General information

NPI: 1043215379
Provider Name (Legal Business Name): PIH HEALTH WHITTIER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 WASHINGTON BLVD
WHITTIER CA
90602-1006
US

IV. Provider business mailing address

12401 WASHINGTON BLVD ATTENTION ADMINISTRATION
WHITTIER CA
90602-1006
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0811
  • Fax: 562-789-4462
Mailing address:
  • Phone: 562-698-0811
  • Fax: 562-789-4462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number930000129
License Number StateCA

VIII. Authorized Official

Name: SUE R PONCE (AKA CARLSON)
Title or Position: SPECIAL PROJECTS
Credential:
Phone: 562-698-0811