Stacy Eleanor Whitelock, MD
Stacy Eleanor Whitelock, MD is a Dermatology in Fullerton, California. Graduated from University of California, Geffen School of Medicine in 2002, 24 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 24
- Trained at
- University of California, Geffen School of Medicine
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2141 N Harbor Blvd Ste 25000Fullerton, CA 92835-3827
Phone: (714) 626-8650
Fax: (714) 626-8696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence A84206 (CA) |
|---|
Record details
| NPI number | 1497886048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE |
| Graduated | 2002 (24 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Fullerton
-
Julie a Hodge MD a California Professional Medical Corporation
1440 N Harbor Blvd Ste 300, Fullerton, CA 92835-4116 · (714) 526-7546