Healthcare Provider Details
I. General information
NPI: 1447912241
Provider Name (Legal Business Name): BRITTANY WERTZ, DO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2021
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
678 S INDIAN HILL BLVD STE 200
CLAREMONT CA
91711-6000
US
IV. Provider business mailing address
1901 HEIDLEMAN RD
LOS ANGELES CA
90032-4121
US
V. Phone/Fax
- Phone: 909-399-0101
- Fax:
- Phone: 626-454-0968
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRITTANY
WERTZ
Title or Position: DO
Credential: DO
Phone: 626-454-0968