MEDICARE: SAVOY LIFE MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1003692732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVOY LIFE MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	440 N BARRANCA AVE # 9906
Second Line	:
City	:	COVINA
State	:	CA
Zip	:	91723-1722
Country	:	US
Telephone Number	:	509-652-2516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 3RD AVE STE 714
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1683
Country	:	US
Telephone Number	:	509-652-2516
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	CHRISTOPHER J WHITCOMB
Credential	:	PA-C
Telephone Number	:	360-202-9839

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	12/10/2025

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