Individual
ASHLYN WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1214
(909) 806-1534
Mailing address
731 SILVERWOOD PL, REDLANDS, CA 92373-5657
(501) 516-5671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA66394
CA
2083X0100X
Occupational Medicine Physician
PA.0007937
CO
363A00000X
Physician Assistant
PA66394
CA
Other
Enumeration date
03/22/2023
Last updated
09/22/2025
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