MEDICARE: EMMA WHITELEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A207131	CA

General Provider Information

NPI Number	:	1083316228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA WHITELEY MD

Provider Business Mailing Address
First Line	:	4650 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-660-2450
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-660-2450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	02/12/2026

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