Individual
MICHAEL H WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806
(562) 933-1550
Mailing address
3 FLYING MANE RD, ROLLING HILLS, CA 90274-5238
(310) 541-7871
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
G12497
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G12497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G124970
MEDICAL
CA
Enumeration date
11/18/2005
Last updated
09/11/2025
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