1225321524 WINGS OF REFUGE, INC

Exclusive Provider Organization

Active

Basic Information

Organization Name
WINGS OF REFUGE, INC
Enumeration Date
May 18, 2011
Last Update
May 18, 2011
Authorized Official
RENEE MONCITO
PRESIDENT & CEO
Phone: (310) 670-6767

Practice Location

Address
38345 30TH ST E
SUITE A-2
PALMDALE, CA 935504980
Phone
(661) 267-7124
Fax
(661) 267-1549

Mailing Address

Address
5777 W CENTURY BLVD
SUITE 910
LOS ANGELES, CA 900455600
Phone
(310) 670-6767
Fax
(310) 670-2626

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1649577206 01 N/A DRUG MEDI-CAL
1013213933 01 N/A DRUG MEDI-CAL
1386940211 01 N/A DRUG MED-ICAL
1922304856 01 N/A DRUG MEDI-CAL
1720385883 01 N/A DRUG MEDI-CAL

Frequently Asked Questions

What is WINGS OF REFUGE, INC's NPI number?
WINGS OF REFUGE, INC's NPI number is 1225321524.
Which doctor has NPI number 1225321524?
The doctor with NPI number 1225321524 is WINGS OF REFUGE, INC.
What is WINGS OF REFUGE, INC's practice address?
WINGS OF REFUGE, INC's practice address is 38345 30TH ST E, SUITE A-2, PALMDALE, CA, 935504980.
Which doctor practices at 38345 30TH ST E, SUITE A-2, PALMDALE, CA, 935504980?
WINGS OF REFUGE, INC practices at 38345 30TH ST E, SUITE A-2, PALMDALE, CA, 935504980.
What is WINGS OF REFUGE, INC's mailing address?
WINGS OF REFUGE, INC's mailing address is 5777 W CENTURY BLVD, SUITE 910, LOS ANGELES, CA, 900455600.
What is WINGS OF REFUGE, INC's phone number?
WINGS OF REFUGE, INC's phone number is (661) 267-7124.
Who is (661) 267-7124?
(661) 267-7124 is the phone number for WINGS OF REFUGE, INC.
What is WINGS OF REFUGE, INC's specialty?
WINGS OF REFUGE, INC's specialty is Exclusive Provider Organization.
What type of doctor is WINGS OF REFUGE, INC?
WINGS OF REFUGE, INC is a Exclusive Provider Organization.
Is WINGS OF REFUGE, INC a Exclusive Provider Organization?
Yes, WINGS OF REFUGE, INC is a Exclusive Provider Organization.
Is WINGS OF REFUGE, INC still practicing?
Yes, WINGS OF REFUGE, INC is currently practicing.
Is WINGS OF REFUGE, INC accepting new patients?
WINGS OF REFUGE, INC may be accepting new patients. Please call their office at (661) 267-7124 to inquire about availability.
Is NPI 1225321524 still active?
Yes, NPI 1225321524 is currently active.
Where does WINGS OF REFUGE, INC practice?
WINGS OF REFUGE, INC practices in PALMDALE, CA.