Individual
SANDRA OGBONNAYA-WHITTLESEY
Active
Individual
SANDRA OGBONNAYA-WHITTLESEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A122336
CA
208000000X
Pediatrics Physician
A122336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114061
SID # 114061
CA
01
—
MD049279
DC MEDICAL LICENSE
DC
Enumeration date
02/24/2012
Last updated
09/08/2022
Update your record
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