Search › California › 183500000X
Vivien Wahlstrom
NPI 1598328254 · on the registry since 2019
Practice
- Address
- 30261 Golden Lantern
Laguna Niguel, CA 92677 - Phone
- (949) 363-0482
- Organisation at this address
- Cvs Pharmacy
Longs Drug Stores California LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 23330 El Toro Rd, Lake Forest, CA
- 638 Camino De Los Mares, San Clemente, CA
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California