NPI 1386940211

Wings of Refuge,inc.

Organisation Exclusive Provider Organization La Puente, CA

Practice location

Address: 904 Willow Ave Room 2, La Puente, CA 91746-1615
Phone: (310) 670-6767
Fax: (310) 670-2626
Mailing address: 5777 W Century Blvd Suite 910, Los Angeles, CA 90045-5600

Authorised official

Name: Renee Moncito
Title: President & Ceo
Phone: (310) 670-6767

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1386940211
Entity type: Organization
NPI issued: 10 Feb 2011
Record last updated: 10 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.