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WHOLISTIC KIDS AND FAMILIES INC. NPI 1154676369


NPI Information

NPI: 1154676369
Provider Name: WHOLISTIC KIDS AND FAMILIES, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2198132

Address:
1821 WILSHIRE BLVD
306
SANTA MONICA, CA
ZIP 90403
Phone: (310) 828-9998
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WHOLISTIC KIDS AND FAMILIES, INC. is a general practice in Santa Monica, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WHOLISTIC KIDS AND FAMILIES, INC. NPI is 1154676369. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1821 WILSHIRE BLVD
306
SANTA MONICA, CA
ZIP 90403-618
Phone: (310) 828-9998
Fax: (310) 405-0908

The provider's authorized official is Pejman Katiraei .
The authorized official title is President and has the following contact phone number (310) 828-9998.

The CLIA number assigned to this NPI record is 05D2198132 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 7/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice20A8994CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I53473MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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