Healthcare Provider Details

I. General information

NPI: 1003034737
Provider Name (Legal Business Name): WHITING & WHITING, A PROFESSIONAL CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COUNTRY CLUB PLZ
ORINDA CA
94563
US

IV. Provider business mailing address

1 COUNTRY CLUB PLZ
ORINDA CA
94563-2308
US

V. Phone/Fax

Practice location:
  • Phone: 925-254-3805
  • Fax: 925-254-9783
Mailing address:
  • Phone: 925-254-3805
  • Fax: 925-254-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN J CANDELL
Title or Position: PRESIDENT
Credential: MD
Phone: 925-254-3805