Provider Demographics
NPI:1265535728
Name:WHITE, CHRISTINE ANNA (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNA
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9242
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-4242
Mailing Address - Country:US
Mailing Address - Phone:858-405-7825
Mailing Address - Fax:858-759-2755
Practice Address - Street 1:6591 CALLE TIERRA BLANCA
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067-4242
Practice Address - Country:US
Practice Address - Phone:858-405-7825
Practice Address - Fax:858-759-2747
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG44355207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology