Individual
COURTNEY WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MSW
Contact information
Practice address
15446 S WESTERN AVE, GARDENA, CA 90249-4319
(310) 217-5375
Mailing address
15446 S WESTERN AVE, GARDENA, CA 90249-4319
(310) 217-5375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208000000X
Pediatrics Physician
Primary
A129878
CA
Other
Enumeration date
07/24/2007
Last updated
03/08/2022
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