Whalio Doctors

NPI 1417950445

Broadview, INC.

Organisation Religious Nonmedical Health Care Institution Los Angeles, CA

Practice location

Address
4570 Griffin Ave, Los Angeles, CA 90031-1422
Phone
(323) 221-9174
Fax
(323) 221-7194

Authorised official

Name
Mark P Zundel-Waterson
Title
Business Manager
Phone
(323) 221-9174

Registered specialties

Religious Nonmedical Health Care Institution Primary
Hospitals Taxonomy 282J00000X Licence 051991 (CA)

Registry record

NPI
1417950445
Entity type
Organization
NPI issued
23 May 2005
Record last updated
22 Aug 2020

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.