Individual
CHRISTINE L WIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2615 S GRAND AVE, ROOM 500, LOS ANGELES, CA 90007-2608
(213) 744-3070
(213) 749-9606
Mailing address
2615 S GRAND AVE, ROOM 500, LOS ANGELES, CA 90007-2608
(213) 744-3070
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A67851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A678510
—
CA
Enumeration date
10/03/2006
Last updated
03/05/2010
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