MEDICARE: COURTNEY C. J. VOELKER M.D., P.H.D.

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	174400000X	Specialist	036136305	IL
2	207Y00000X	Otolaryngology Physician	A120816	CA
3	207YX0901X	Otology & Neurotology Physician	A120816	CA

General Provider Information

NPI Number	:	1619173267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY C. J. VOELKER M.D., P.H.D.

Provider Business Mailing Address
First Line	:	11645 WILSHIRE BLVD STE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6807
Country	:	US
Telephone Number	:	310-477-5558
Fax Number	:	310-477-7281

Provider Business Practice Location Address
First Line	:	11645 WILSHIRE BLVD STE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6807
Country	:	US
Telephone Number	:	310-477-5558
Fax Number	:	310-477-7281

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

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	05/16/2022

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Directions to “ COURTNEY C. J. VOELKER M.D., P.H.D.” Practice Location

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