Christine L Wigen, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A67851 Issued in CA

Practice address

2615 S Grand Ave
Room 500
Los Angeles, CA 90007-2608

Phone

(213) 744-3070

Fax

(213) 749-9606

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1891880142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S GRAND AVE",
            "address_2": "ROOM 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072608",
            "telephone_number": "213-744-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 S GRAND AVE",
            "address_2": "ROOM 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072608",
            "telephone_number": "213-744-3070",
            "fax_number": "213-749-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGEN",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A67851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A678510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Wiese
• Alyssa J Wiesel, LMFT, ATR
• Denise Sheri Wiesner, L. AC
• Rivka Leah Wiess
• David Romney Wiest, PT
• Valerie Wiggan
• Kamerin Wiggins
• Luke McKee Wiggins, MD
• Quainteaira Wiggs
• Stephen E. Wight, M.D.

• Infectious Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.