MEDICARE: MR. ROGELIO LEONARDO WHYTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	C39717	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194842625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROGELIO LEONARDO WHYTE MD

Provider Business Mailing Address
First Line	:	595 EAST COLORADO BLVD
Second Line	:	SUITE 507
City	:	PASADENA
State	:	CA
Zip	:	91101-2039
Country	:	US
Telephone Number	:	626-440-1911
Fax Number	:	626-332-6587

Provider Business Practice Location Address
First Line	:	595 EAST COLORADO BLVD
Second Line	:	SUITE 507
City	:	PASADENA
State	:	CA
Zip	:	91101-2039
Country	:	US
Telephone Number	:	626-440-1911
Fax Number	:	626-332-6587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/13/2011

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Directions to “ MR. ROGELIO LEONARDO WHYTE MD” Practice Location

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