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Gregory T Whitman MD INC

Psychiatry & Neurology, Neurology in Irvine, CA. Organization (NPI-2).

NPI number1467932160
StatusActive
Last updated in NPPESOct 30, 2018

Details

NPI
1467932160
Entity type
Organization (NPI-2)
Legal business name
Gregory T Whitman MD INC
Organization subpart
No
Enumeration date
Aug 21, 2018
Last updated
Oct 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyA65223CAYes

Practice location

16405 Sand Canyon Ave Ste 220
Irvine, CA 92618-3787

Phone 949-336-8150 · Fax 949-727-7016

Mailing address

16405 Sand Canyon Ave Ste 220
Irvine, CA 92618-3787

Phone 949-336-8150 · Fax 949-727-7016

Authorized official

Gregory T Whitman
President
3104930860

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