Provider Demographics
NPI:1881658920
Name:WHITNEY, FRANK EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:EUGENE
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:CHINESE CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95309-0039
Mailing Address - Country:US
Mailing Address - Phone:209-768-4395
Mailing Address - Fax:
Practice Address - Street 1:1100 LAS TABLAS RD
Practice Address - Street 2:ORTHOPEDIC SURGERY OUTPATIENT CLINIC TCC HOSPITAL
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9704
Practice Address - Country:US
Practice Address - Phone:805-434-4352
Practice Address - Fax:805-434-4622
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33455207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G334550Medicaid
CA00G334550Medicaid
CAA45554Medicare UPIN
CA00G334550Medicare ID - Type Unspecified