Laura F Whitten, M.D.
Individual provider Active NPI Pediatric Emergency Medicine (Pediatrics) Physician · Plesant Hill, CA
NPI 1477572048 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477572048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X
- License
- G23556 (CA)
- Practice address
- 845 Gregory Lane
Suite 203
Plesant Hill, CA 94523 - Phone
- (925) 288-3600
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23556 | CA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | G23556 | CA | Yes |
Addresses
Primary practice location
845 Gregory Lane
Suite 203
Plesant Hill, CA 94523
Mailing address
132 Yale Ave
Mill Valley, CA 94941-3531
Phone (415) 383-8935
Other providers in Plesant Hill, CA
All providers in Plesant Hill, CA · Pediatric Emergency Medicine (Pediatrics) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.