Individual
ELENITA LUCERO WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20800 SHERMAN WAY, WINNETKA, CA 91306-2707
(818) 883-2273
Mailing address
20840 COMMUNITY ST, UNIT 1, WINNETKA, CA 91306-1500
(818) 773-2687
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A60725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538130893
—
CA
Enumeration date
10/07/2011
Last updated
04/25/2013
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