Healthcare Provider Details

I. General information

NPI: 1649106188
Provider Name (Legal Business Name): D WHITE CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 CAMINO DEL RIO S STE 207
SAN DIEGO CA
92108-3735
US

IV. Provider business mailing address

2423 CAMINO DEL RIO S STE 207
SAN DIEGO CA
92108-3735
US

V. Phone/Fax

Practice location:
  • Phone: 619-880-5185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DARCEL WHITE
Title or Position: OWNER/ CEO
Credential: DC
Phone: 760-553-4001