Individual provider · Type 1 NPI

Jeffrey White

Student in an Organized Health Care Education/Training Program · San Luis Obispo, CA

NPI number 1003261447 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Call (805) 781-1295 Map

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization 305R00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003261447

Jeffrey White's National Provider Identifier is 1003261447, issued on May 3, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 28, 2026.