White, Brett

White, Brett is an individual health care provider with primary practice located at 520 Superior Ave Suite 360, Newport Beach CA 92663-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Brett can be contacted via phone (949) 644-1025.

Contact Information

Primary practice address
520 Superior Ave Suite 360 Newport Beach CA 92663-3637
Fax: (949) 644-7852
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A74766 California

Profile Details

NPI number 1326088964
LBN Legal business name White, Brett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326088964 NPPES
California MEDICAID 00A747660

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