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WHITEHEAD FAMILY WELLNESS CLINIC
NPI 1053179911
Nurse Practitioner - Primary Care in Los Angeles, CA

Active since March 06, 2024
12813 AVALON BLVD, LOS ANGELES, CA 90061(310) 819-8310(310) 819-8178 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Whitehead Family Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITEHEAD FAMILY WELLNESS CLINIC (NPI 1053179911) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since March 2024. The organization lists Aurelia Whitehead, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1053179911
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameWHITEHEAD FAMILY WELLNESS CLINIC
Location Address12813 AVALON BLVDLos Angeles, CA 90061-2731
Mailing Address12813 Avalon BlvdLos Angeles, CA 90061-2731 · (310) 819-8310 · Fax (310) 819-8178
Phone(310) 819-8310
Fax(310) 819-8178
Organization SubpartNo
Authorized OfficialAurelia WhiteheadChief Executive Officer · (323) 200-6418
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1053179911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
12813 AVALON BLVD, Los Angeles, CA 90061
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitehead Family Wellness Clinic's NPI number?

The NPI number for Whitehead Family Wellness Clinic is 1053179911. It was assigned to this organization in the NPPES registry on March 6, 2024.

Where is Whitehead Family Wellness Clinic located?

Whitehead Family Wellness Clinic is located at 12813 Avalon Blvd, Los Angeles, CA 90061. The listed phone number is (310) 819-8310.

What is Whitehead Family Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Whitehead Family Wellness Clinic was last updated on March 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.