Individual
MALCOLM JOHN WEHRLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 E VERMONT AVE, ANAHEIM, CA 92805-5622
(714) 997-2674
(206) 426-5175
Mailing address
1203 E VERMONT AVE, ANAHEIM, CA 92805-5622
(714) 997-2674
(206) 426-5175
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G64523
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
G64523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G645230
BLUE SHIELD
CA
01
—
00G645230
BLUE SHIELD
—
05
—
00G645230
—
CA
Enumeration date
07/23/2006
Last updated
03/09/2021
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