Individual
MIKEL WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2141 N HARBOR BLVD, STE 35000, FULLERTON, CA 92835
(714) 626-8630
(714) 626-8659
Mailing address
2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835-3831
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G36876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G36876)
MEDICAL
CA
Enumeration date
06/13/2006
Last updated
11/11/2021
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