Whalio Doctors

NPI 1235107038

Matthew Jay Wise, MD

Practitioner Phlebology Physician Orange, CA

Practice location

Address
431 S Batavia St STE 101, Orange, CA 92868-3937
Phone
(714) 363-3300
Fax
(714) 363-3847

Registered specialties

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence C55031 (CA)

Registry record

NPI
1235107038
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Mar 2006
Record last updated
4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.