MEDICARE: WILLIAM J. WELCH, DC, INC.

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	DC24662	CA

General Provider Information

NPI Number	:	1639227911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM J. WELCH, DC, INC.

Provider Business Mailing Address
First Line	:	6888 LINCOLN AVE
Second Line	:	SUITE J2
City	:	BUENA PARK
State	:	CA
Zip	:	90620-4107
Country	:	US
Telephone Number	:	714-828-2865
Fax Number	:	714-828-0165

Provider Business Practice Location Address
First Line	:	6888 LINCOLN AVE
Second Line	:	SUITE J2
City	:	BUENA PARK
State	:	CA
Zip	:	90620-4107
Country	:	US
Telephone Number	:	714-828-2865
Fax Number	:	714-828-0165

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM JAMES WELCH
Credential	:	DC
Telephone Number	:	714-828-2865

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	08/22/2020

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