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NPI Code Detail

MEDICARE: STEVEN W. WHEELER M.D.

MEDICARE: STEVEN W. WHEELER M.D.
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
12084N0400XNeurology PhysicianG79377CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225180615
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN W. WHEELER M.D.
Provider Business Mailing Address
First Line : 1401 AVOCADO AVE
Second Line : SUITE 805
City : NEWPORT BEACH
State : CA
Zip : 92660-7720
Country : US
Telephone Number : 949-760-1640
Fax Number : 949-760-1610
Provider Business Practice Location Address
First Line : 360 SAN MIGUEL DR STE 503
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-7831
Country : US
Telephone Number : 949-760-1640
Fax Number : 949-760-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 09/19/2024

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