MEDICARE: MR. CARL PHILLIP WEISHER 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	18691	CA

General Provider Information

NPI Number	:	1457228215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARL PHILLIP WEISHER DC

Provider Business Mailing Address
First Line	:	3543 FLETCHER DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-2901
Country	:	US
Telephone Number	:	213-573-6073
Fax Number	:

Provider Business Practice Location Address
First Line	:	3407 W 6TH ST STE 617
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-2553
Country	:	US
Telephone Number	:	213-573-6073
Fax Number	:

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

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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Directions to “ MR. CARL PHILLIP WEISHER DC” Practice Location

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