Organization
JOHN C WHITNEY MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. WHITNEY M.D. (OWNER)
(408) 379-6750
Entity
Organization
Contact information
Practice address
777 KNOWLES DR STE 3, LOS GATOS, CA 95032-1417
(408) 379-6750
(408) 379-1133
Mailing address
777 KNOWLES DR STE 3, LOS GATOS, CA 95032-1417
(408) 379-6750
(408) 379-1133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G73247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G732470
BLUE SHIELD
CA
01
—
00G732471
MEDICAL
CA
Enumeration date
09/13/2006
Last updated
05/09/2008
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