Individual
CARL WATT WHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 MEDICAL PLZ, SUITE B200, LOS ANGELES, CA 90095-0001
(310) 794-1195
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-1195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14878
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP14878
CA
363LA2100X
Acute Care Nurse Practitioner
RN578343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP14878
—
CA
05
—
RN578343
—
CA
Enumeration date
08/02/2006
Last updated
03/18/2011
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