Champion Wiseman

NPI 1952727224 · on the registry since 2014

Practice

Address: 1905 E 17th St
309
Santa Ana, CA 92705
Phone: (714) 543-0425
Fax: (714) 543-2062
Organisation at this address: Geoffery Odega
Olivet Home Health Inc
Healing Hands Health Care Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-11

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