MEDICARE: TRACY MEGUMI WHEELWRIGHT CHIROPRACTIC CORPORATION

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

General Provider Information

NPI Number	:	1336990878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACY MEGUMI WHEELWRIGHT CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	14340 BOLSA CHICA RD STE G
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-4868
Country	:	US
Telephone Number	:	714-709-8030
Fax Number	:

Provider Business Practice Location Address
First Line	:	14340 BOLSA CHICA RD STE G
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-4868
Country	:	US
Telephone Number	:	714-709-8030
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TRACY MEGUMI WHEELWRIGHT
Credential	:	DC
Telephone Number	:	650-274-9280

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/01/2024

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