Individual
DR. JOHN PATRICK WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1250 16TH ST # C2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
(310) 319-4908
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A53446
CA
2080P0216X
Pediatric Rheumatology Physician
Primary
A53446
CA
208M00000X
Hospitalist Physician
A53446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150043
TUFTS HEALTH PLAN
MA
05
—
3204120
—
MA
01
—
J21870
BCBS MA
MA
Enumeration date
03/07/2006
Last updated
11/12/2019
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