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General NPI Number Information
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NPI Number | 1457308769
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Entity Type | Individual
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Provider Name | STEVEN A WAHLEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 265 COHASSET RD SUITE 140
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City | CHICO
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State | CA
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Zip | 95926-2273
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Country | US
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Telephone | 530-891-8787
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Fax | 530-898-9647
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Provider Business Mailing Address
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Address Line | PO BOX 511470
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City | LOS ANGELES
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State | CA
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Zip | 90051-8025
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Country | US
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Telephone | 512-583-0205
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Fax | 512-583-2001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | RHL1388296
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License Number State | CA
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