Provider Demographics
NPI:1790001063
Name:WHITCUP, SCOTT M (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:WHITCUP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2525 DUPONT DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1531
Mailing Address - Country:US
Mailing Address - Phone:714-246-4919
Mailing Address - Fax:714-246-6987
Practice Address - Street 1:924 WESTWOOD BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2910
Practice Address - Country:US
Practice Address - Phone:310-794-8111
Practice Address - Fax:310-794-0675
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG56571207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology