Healthcare Provider Details

I. General information

NPI: 1184234221
Provider Name (Legal Business Name): MEGHANN MCCALL-O'DELL DC, MAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 02/07/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 AMBER VALLEY DR
WHITTIER CA
90604-4051
US

IV. Provider business mailing address

16200 AMBER VALLEY DR
WHITTIER CA
90604-4051
US

V. Phone/Fax

Practice location:
  • Phone: 562-475-5192
  • Fax: 562-475-5193
Mailing address:
  • Phone: 562-475-5192
  • Fax: 562-475-5193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37012
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2000033598
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: