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SAMUEL R WHITAKER MD PROF CORP NPI 1194962704


NPI Information

NPI: 1194962704
Provider Name: SAMUEL R WHITAKER MD PROF CORP

Other Name: SAMUEL R. WHITAKER, M.D.

Classification: Otolaryngology - 207YX0901X
Entity Type: Organization

Specialization: Otology & Neurotology

Address:
2888 LONG BEACH BLVD
STE 150
LONG BEACH, CA
ZIP 90806
Phone: (562) 997-3990
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SAMUEL R WHITAKER MD PROF CORP is an otology and neurotology otolaryngology in Long Beach, CA. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. SAMUEL R WHITAKER MD PROF CORP NPI is 1194962704. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Samuel R. Whitaker, M.d..

The provider's business location address is:

2888 LONG BEACH BLVD
STE 150
LONG BEACH, CA
ZIP 90806-560
Phone: (562) 997-3990
Fax: (562) 997-4166

The provider's authorized official is Samuel Robinson Whitaker .
The authorized official title is Sole Proprietor and has the following contact phone number (562) 997-3990.

The enumeration date for this NPI number is 1/20/2009 and was last updated on 11/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0901XOtolaryngologyOtology & NeurotologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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