Whalio Doctors

NPI 1467706622

Stj LP

Organisation Physical Disabilities Residential Treatment Facility Palmdale, CA

Practice location

Address
3833 E Avenue R12, Palmdale, CA 93550-2500
Phone
(661) 382-1444
Mailing address
13959 La Maida St, Sherman Oaks, CA 91423-1906

Authorised official

Name
Regina Sterin
Title
Administrator
Phone
(818) 486-2273

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X Licence 550002103 (CA)

Registry record

NPI
1467706622
Entity type
Organization
NPI issued
8 Nov 2012
Record last updated
8 Nov 2012

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.