# MARK WHYTE MD A PROFESSIONAL MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114137270
- **Authorized official:** DR. MARK R WHYTE MD (PRESIDENT)
- **Authorized official phone:** (760) 344-3446

## Contact information

- **Practice address:** 608 G ST, SUITE 2-B, BRAWLEY, CA 92227-2568
- **Practice address phone:** (760) 344-3446
- **Mailing address:** 608 G ST, SUITE 2-B, BRAWLEY, CA 92227-2568
- **Mailing address phone:** (760) 344-3446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A85889 | CA | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A858890 | — | CA |