Whitaker Wellness Institute Medical Clinic INC
NPI #1073761466 in Newport Beach, California
Provider Information
- NPI Number
- 1073761466
- Entity Type
- Organization
- Organization Name
- Whitaker Wellness Institute Medical Clinic INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 28, 2008
- Last Updated
- Oct 28, 2008
Practice Location
- Address
- 4321 BIRCH ST
- Address 2
- SUITE 100
- City
- Newport Beach
- State
- California
- ZIP Code
- 92660-1923
- Phone
- (949) 851-1550
Authorized Official
- Name
- DR. JULIAN WHITAKER, MD
- Title
- LABORATORY DIRECTOR
- Phone
- (949) 851-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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