# WAYNE WHITWAM MD INC A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790600864
- **Authorized official:** WAYNE B WHITWAM MD (PRESIDENT)
- **Authorized official phone:** (858) 824-2900

## Contact information

- **Practice address:** 9850 GENESEE AVE STE 780, LA JOLLA, CA 92037-1232
- **Practice address phone:** (858) 824-2900
- **Practice address fax:** (858) 824-2910
- **Mailing address:** 9850 GENESEE AVE STE 780, LA JOLLA, CA 92037-1232
- **Mailing address phone:** (858) 824-2900
- **Mailing address fax:** (858) 824-2910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2026
- **Last updated:** 08/10/2026