Healthcare Provider Details

I. General information

NPI: 1962206151
Provider Name (Legal Business Name): TRASHANDA WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 N STATE COLLEGE BLVD APT 153011
ORANGE CA
92868-1703
US

IV. Provider business mailing address

716 ZIMALCREST DR APT 4007
COLUMBIA SC
29210-6594
US

V. Phone/Fax

Practice location:
  • Phone: 213-279-6814
  • Fax:
Mailing address:
  • Phone: 213-279-6814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: