Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN WIESE, ATC
Active Sole ProprietorJOHN WIESE, ATC is a Athletic Trainer healthcare provider located in LA MIRADA, California. NPI 1235676800 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LA MIRADA, CA
Registration Details
- NPI Number
- 1235676800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2017 (9.5370716288223 yrs)
- Last Updated
- Jan 20, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
13800 BIOLA AVELA MIRADA, CA, 906390002Browse CA providers · Browse ZIP 90639
- Phone
- 5629440351
- Fax
- 5629064558
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LA MIRADA, CA
| Name | Credential | NPI |
|---|---|---|
| MISS LINDA ANN RUGGLES | ATC | 1447639190 |
| DANIELLE LIM | ATC | 1235665191 |
| MATTHEW D WADE | ATC | 1306304647 |
| DORIAN MONTERO | — | 1336718006 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.