Malcolm John Wehrle, MD | |
1203 E Vermont Ave, Anaheim, CA 92805-5622 | |
(714) 997-2674 | |
(206) 426-5175 |
Full Name | Malcolm John Wehrle |
---|---|
Gender | Male |
Speciality | Anesthesiology - Addiction Medicine |
Location | 1203 E Vermont Ave, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316968282 | NPI | - | NPPES |
00G645230 | Medicaid | CA | |
00G645230 | Other | CA | BLUE SHIELD |
00G645230 | Other | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G64523 (California) | Secondary |
207LA0401X | Anesthesiology - Addiction Medicine | G64523 (California) | Primary |
Entity Name | Pacific Valley Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
Mailing Address | Practice Location Address |
---|---|
Malcolm John Wehrle, MD 1203 E Vermont Ave, Anaheim, CA 92805-5622 Ph: (714) 997-2674 | Malcolm John Wehrle, MD 1203 E Vermont Ave, Anaheim, CA 92805-5622 Ph: (714) 997-2674 |
Ms. Bich Ngoc Dang, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3033 W Orange Ave, Anaheim, CA 92804 Phone: 714-827-3000 Fax: 949-588-2199 | |
Ernesto P Gidaya, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1111 W La Palma Ave, Anaheim, CA 92801 Phone: 714-774-1450 Fax: 714-710-7741 | |
Roxanne S. Tagayun, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Donny Chung, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Nhat D. Le, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Dorothy M Toung, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
D Lalani Perera-thangaratnam, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1111 W La Palma Ave, Anaheim, CA 92801 Phone: 714-774-1450 |