Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G33706 | CA |
NPI | 1033197835 |
---|---|
Provider Name | Dr. Paul A Wehrle |
First Address | Mission Viejo, CA 92691-6330 |
Second Address | Mission Viejo, CA 92691-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 04/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G337060 | (05) | CA |
B93280 | (02) | CA |