Individual
FREDERICK EUGENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
890 W STETSON AVE STE B, APEX RADIOLOGY MEDICAL GROUP INC., HEMET, CA 92543-7311
(951) 537-6002
Mailing address
890 W STETSON AVE STE B, HEMET, CA 92543-7311
(951) 537-6002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A4393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX43930
—
CA
01
—
020A43934
MEDICARE PTAN
CA
01
—
020A43935
MEDICARE PTAN
—
01
—
020A43936
MEDICARE PTAN
CA
01
—
300033887
RAILROAD
CA
01
—
300048952
RAILRAOD
CA
Enumeration date
06/20/2006
Last updated
02/27/2013
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