Individual provider · Type 1 NPI

Andra Ikie White

Military Health Care Provider · Los Angeles, CA

NPI number 1972402428 Active

Practice location

3809 S Hobart Blvd
Los Angeles, CA 90062-1154

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1972402428

Andra Ikie White's National Provider Identifier is 1972402428, issued on Nov 2, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 2, 2026.