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NPI Code Detail

MEDICARE: CHRISTINE ELIZABETH WAHLMEIER DO

MEDICARE: CHRISTINE ELIZABETH WAHLMEIER DO
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
12084P0804XChild & Adolescent Psychiatry Physician20A23878CA
22084P0800XPsychiatry Physician23878CA

General Provider Information

NPI Number : 1801536230
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ELIZABETH WAHLMEIER DO
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-240-1059
Fax Number :
Provider Business Practice Location Address
First Line : 2130 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-2209
Country : US
Telephone Number : 619-515-2338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/08/2026

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