Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Whitehead Family Wellness Clinic

Organization Primary Care Nurse Practitioner · NPI 1053179911

Whitehead Family Wellness Clinic is a Primary Care Nurse Practitioner in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12813 Avalon Blvd
Los Angeles, CA 90061-2731
Phone: (310) 819-8310
Fax: (310) 819-8178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1053179911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aurelia Whitehead — Chief Executive Officer · (323) 200-6418
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address12813 Avalon Blvd, Los Angeles, CA 90061-2731

Other providers in Los Angeles