Provider Demographics
NPI:1184948598
Name:SANTA MARIA'S CHILDREN AND FAMILY CENTER
Entity type:Organization
Organization Name:SANTA MARIA'S CHILDREN AND FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-513-3303
Mailing Address - Street 1:9209 COLIMA RD STE 4400
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1823
Mailing Address - Country:US
Mailing Address - Phone:661-513-3303
Mailing Address - Fax:661-263-2618
Practice Address - Street 1:9209 COLIMA RD STE 4400
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1823
Practice Address - Country:US
Practice Address - Phone:661-513-3303
Practice Address - Fax:661-263-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261Q0000X261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center