Individual
DR. ERVIN S WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE, SUITE 130, LA JOLLA, CA 92037-1224
(858) 245-6550
(858) 452-9910
Mailing address
9894 LA JOLLA FARMS RD, LA JOLLA, CA 92037-1135
(858) 245-6550
(858) 452-9910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G20992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EU012Z
PTAN
CA
Enumeration date
07/20/2006
Last updated
08/10/2015
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