Healthcare Provider Details

I. General information

NPI: 1780423616
Provider Name (Legal Business Name): WHITNIE SZUTU OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 N EUCLID AVE
ONTARIO CA
91762-3427
US

IV. Provider business mailing address

2799 DEL SOL CT
CHINO HILLS CA
91709-3486
US

V. Phone/Fax

Practice location:
  • Phone: 909-988-2555
  • Fax:
Mailing address:
  • Phone: 909-247-4694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number35664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: