Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC 32539 | CA |
N | 111NN0400X | Neurology | DC 32539 | CA |
N | 111NN1001X | Nutrition | DC 32539 | CA |
N | 111NP0017X | Pediatric Chiropractor | DC 32539 | CA |
Y | 111NR0400X | Rehabilitation Chiropractor | DC 32539 | CA |
N | 111NS0005X | Chiropractic Sports Physician | DC 32539 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC 32539 | CA |
NPI | 1568705390 |
---|---|
Provider Name | Sommer Whaite |
First Address | Beverly Hills, CA 90211 |
Second Address | Beverly Hills, CA 90211-1937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 21/11/2016 |