Provider Demographics
NPI:1558192526
Name:WHINERY, JESSICA K
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:K
Last Name:WHINERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 YALE LN
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2521
Mailing Address - Country:US
Mailing Address - Phone:562-753-5666
Mailing Address - Fax:
Practice Address - Street 1:1018 N TUSTIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5958
Practice Address - Country:US
Practice Address - Phone:714-644-9555
Practice Address - Fax:714-793-6908
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography