Individual
CHAD ALLEN WADELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 315, MISSION VIEJO, CA 92691-6384
(949) 364-6000
(949) 364-1204
Mailing address
26522 LA ALAMEDA, SUITE 120, MISSION VIEJO, CA 92691-6330
(949) 282-1671
(949) 367-0518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A94723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A947230
—
CA
Enumeration date
05/15/2007
Last updated
11/11/2021
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