| John Stephen Wikle Md A Professional Corporation | |
|
4950 Barranca Pkwy Suite 207 Irvine CA 92604-4671 | |
| (949) 262-9700 | |
| (949) 262-0700 |
| Full Name | John Stephen Wikle Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4950 Barranca Pkwy, Irvine, California |
| Authorized Official Name and Position | John Stephen Wikle (OWNER) |
| Authorized Official Contact | 9492629700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Stephen Wikle Md A Professional Corporation 4950 Barranca Pkwy Suite 207 Irvine CA 92604-4671 Ph: (949) 262-9700 | John Stephen Wikle Md A Professional Corporation 4950 Barranca Pkwy Suite 207 Irvine CA 92604-4671 Ph: (949) 262-9700 |
| NPI Number | 1841419363 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 0648339101 |
|---|---|
| Medicare Enrollment ID | O20081112000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841419363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77860 (California) | Primary |
| Provider Name | John Wikle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831138080 PECOS PAC ID: 0840186599 Enrollment ID: I20040227000534 |
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