Healthcare Provider Details
I. General information
NPI: 1972402253
Provider Name (Legal Business Name): HEATHER LEHUA WHITFIELD DNP, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/03/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21007 VICTOR ST APT 16
TORRANCE CA
90503-2857
US
IV. Provider business mailing address
21007 VICTOR ST APT 16
TORRANCE CA
90503-2857
US
V. Phone/Fax
- Phone: 715-514-7578
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 95042220 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: