Individual
JONATHAN HOWARD WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 HOSPITAL RD STE 611, NEWPORT BEACH, CA 92663-3508
(949) 642-1363
(949) 642-1438
Mailing address
351 HOSPITAL RD, SUITE 611, NEWPORT BEACH, CA 92663-3509
(949) 642-1363
(949) 642-1438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G61174
CA
Other
Enumeration date
12/07/2006
Last updated
08/09/2012
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