WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC NPI 1073761466

NPI Information

NPI: 1073761466
Provider Name: WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address: 4321 BIRCH ST
SUITE 100
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 851-1550

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NPI Details

WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC is a clinical medical laboratory in Newport Beach, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC NPI is 1073761466. The provider is registered as an organization entity type.

The provider's business location address is:

4321 BIRCH ST
SUITE 100
NEWPORT BEACH, CA
ZIP 92660-923
Phone: (949) 851-1550

The provider's authorized official is Julian Whitaker .
The authorized official title is Laboratory Director and has the following contact phone number (949) 851-1550.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 10/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		CLF 11147	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CLF 11147	OTHER	CALIFORNIA	DEPARTMENT OF HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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