Individual
DONNA LYNN WHITEHOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-2006
(760) 773-1587
Mailing address
PO BOX 2311, CHATSWORTH, CA 91313-2311
(818) 718-9500
(818) 718-9507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G37761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G377611
—
CA
Enumeration date
09/07/2005
Last updated
07/08/2007
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