Healthcare Provider Details

I. General information

NPI: 1588592935
Provider Name (Legal Business Name): BRETT ARCHER MCLEAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 PUENTE AVE STE C
BALDWIN PARK CA
91706-5994
US

IV. Provider business mailing address

1620 PUENTE AVE STE C
BALDWIN PARK CA
91706-5994
US

V. Phone/Fax

Practice location:
  • Phone: 626-737-6600
  • Fax: 626-737-6600
Mailing address:
  • Phone: 626-737-6600
  • Fax: 626-737-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: