Provider Demographics
NPI:1649914540
Name:NCH PERSONAL CARE HEALTH CENTER INC
Entity type:Organization
Organization Name:NCH PERSONAL CARE HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-323-9247
Mailing Address - Street 1:21836 PINTO WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-1491
Mailing Address - Country:US
Mailing Address - Phone:909-323-9247
Mailing Address - Fax:
Practice Address - Street 1:21836 PINTO WAY
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-1491
Practice Address - Country:US
Practice Address - Phone:909-323-9247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAL-154722OtherIBCLC