Individual
ELIZABETH WHITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 416-5074
(828) 372-4511
Mailing address
500 SUPERIOR AVE FL 3, NEWPORT BEACH, CA 92663-3657
(949) 764-8191
(949) 764-4268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
312747
LA
2084P0800X
Psychiatry Physician
Primary
A173089
CA
Other
Enumeration date
04/05/2017
Last updated
02/16/2022
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