Healthcare Provider Details

I. General information

NPI: 1811575921
Provider Name (Legal Business Name): SETH WHITE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST
LOMA LINDA CA
92354-2804
US

IV. Provider business mailing address

11234 ANDERSON ST
LOMA LINDA CA
92354-2804
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-6131
  • Fax: 909-558-0430
Mailing address:
  • Phone: 909-558-6131
  • Fax: 909-558-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA183340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: