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Individual

IAN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(855) 625-4657
Mailing address
470 E 3RD ST STE A&B, LOS ANGELES, CA 90013-1629
(213) 626-6411

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
11/01/2021
Last updated
05/19/2025
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