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
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None 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.
Other military health care provider providers in Los Angeles
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.