MEDICARE: WHITAKER VOSS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC36073	CA

General Provider Information

NPI Number	:	1447825575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITAKER VOSS DC

Provider Business Mailing Address
First Line	:	2201 SHORELINE DR UNIT 1508
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-7337
Country	:	US
Telephone Number	:	510-671-1716
Fax Number	:	510-671-6216

Provider Business Practice Location Address
First Line	:	2258 SANTA CLARA AVE STE 5
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4473
Country	:	US
Telephone Number	:	510-671-1716
Fax Number	:	510-671-6216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	10/12/2024

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Directions to “ WHITAKER VOSS DC” Practice Location

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