Healthcare Provider Details

I. General information

NPI: 1972761120
Provider Name (Legal Business Name): JANET WHITNEY, DO, MPH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 RANCHEROS DR SUITE 101
SAN MARCOS CA
92069-2976
US

IV. Provider business mailing address

6729 CAMINO DEL PRADO
CARLSBAD CA
92011-3310
US

V. Phone/Fax

Practice location:
  • Phone: 760-420-2331
  • Fax: 760-431-8590
Mailing address:
  • Phone: 858-525-1665
  • Fax: 760-431-8590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number20A7126
License Number StateCA

VIII. Authorized Official

Name: DR. JANET L. WHITNEY
Title or Position: DIRECTOR
Credential: DO, MPH
Phone: 858-525-1665