Healthcare Provider Details

I. General information

NPI: 1801536230
Provider Name (Legal Business Name): CHRISTINE ELIZABETH WAHLMEIER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 NATIONAL AVE
SAN DIEGO CA
92113-2209
US

IV. Provider business mailing address

3020 CHILDRENS WAY
SAN DIEGO CA
92123-4223
US

V. Phone/Fax

Practice location:
  • Phone: 619-515-2338
  • Fax:
Mailing address:
  • Phone: 858-240-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number23878
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number20A23878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: