| Doctor Name: | ELENITA LUCERO WHEELER |
| NPI Number: | 1104100197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A60725 |
| Business Practice Address: | 20800 Sherman Way Winnetka, CA - 913062707 |
| Business Phone Number: | 8188832273 |
| Business Fax Number: | |
| Mailing Address: | 20840 Community St, Unit 1 WINNETKA |
| State: | CA |
| Postal Code: | 913061500 |
| Phone Number: | 8187732687 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2011 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A60725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |