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Justin White

Student in an Organized Health Care Education/Training Program in San Francisco, CA. Individual provider (NPI-1).

NPI number1023908217
StatusActive
Last updated in NPPESAug 31, 2026

Details

NPI
1023908217
Entity type
Individual (NPI-1)
Name
Justin White
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2025
Certification date
Aug 31, 2026
Last updated
Aug 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes
373H00000X Day Training/Habilitation Specialist––

Practice location

1801 Vicente St
San Francisco, CA 94116-2923

Phone 415-683-9026

Mailing address

1801 Vicente St
San Francisco, CA 94116-2923

Phone 415-681-3211

Other practice locations

50 Shrader St
San Francisco, CA 94117-1015

Phone 415-861-0828

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