Organization
LAURA WHITE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DIANE WHITE D.C. (CHIROPRACTOR/OWNER)
(661) 203-8768
Entity
Organization
Contact information
Practice address
20041 W VALLEY BLVD STE 2, TEHACHAPI, CA 93561-6746
(661) 203-8768
Mailing address
PO BOX 1214, TEHACHAPI, CA 93581-1214
(661) 203-8768
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DC31225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BV311B
MEDICARE PTAN
CA
Enumeration date
11/03/2015
Last updated
02/10/2020
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