Individual
DR. SAMUEL ROBINSON WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1041 S GARFIELD AVE, STE 207, ALHAMBRA, CA 91801-4765
(626) 872-0192
(626) 872-0194
Mailing address
1041 S GARFIELD AVE, STE 207, ALHAMBRA, CA 91801-4765
(626) 872-0192
(626) 872-0194
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
G44301
CA
207YX0901X
Otology & Neurotology Physician
Primary
G44301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G443010
—
CA
01
—
G44301
CA STATE LICENSE
CA
Enumeration date
12/04/2006
Last updated
02/06/2015
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