Organization
WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC
Active
Organization
WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN M WHITAKER M.D. (OWNER)
(949) 851-1550
Entity
Organization
Contact information
Practice address
4321 BIRCH ST, SUITE 100, NEWPORT BEACH, CA 92660-1923
(949) 851-1550
(949) 270-0169
Mailing address
4321 BIRCH ST, SUITE 100, NEWPORT BEACH, CA 92660-1923
(949) 851-1550
(949) 270-0169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
11/14/2006
Last updated
09/11/2025
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