Healthcare Provider Details

I. General information

NPI: 1609658004
Provider Name (Legal Business Name): WHITNEY POWELL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 STINE RD
BAKERSFIELD CA
93309-3268
US

IV. Provider business mailing address

1336 N MOORPARK RD # 144
THOUSAND OAKS CA
91360-5224
US

V. Phone/Fax

Practice location:
  • Phone: 720-670-9876
  • Fax:
Mailing address:
  • Phone: 720-670-9876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: