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NPI Code Detail

MEDICARE: MALCOLM JOHN WEHRLE, M.D., A PROF CORP

MEDICARE: MALCOLM JOHN WEHRLE, M.D., A PROF CORP
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
1207L00000XAnesthesiology PhysicianG64523CA

General Provider Information

NPI Number : 1235257379
Entity Type Code : Organization
Provider Name (Legal Business Name) : MALCOLM JOHN WEHRLE, M.D., A PROF CORP
Provider Business Mailing Address
First Line : 1203 E VERMONT AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-5622
Country : US
Telephone Number : 714-997-2674
Fax Number : 206-426-5175
Provider Business Practice Location Address
First Line : 1203 E VERMONT AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-5622
Country : US
Telephone Number : 714-997-2674
Fax Number : 206-426-5175
Authorized Official
Title or Position : PRESIDENT
Name : DR. MALCOLM J WEHRLE
Credential : M.D.
Telephone Number : 818-790-9008
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/28/2021

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