Provider Demographics
NPI:1184683930
Name:WERTHEIMER-GALE AND ASSOCIATES
Entity Type:Organization
Organization Name:WERTHEIMER-GALE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WERTHEIMER-GALE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:949-551-4233
Mailing Address - Street 1:27 REDWOOD TREE LN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2226
Mailing Address - Country:US
Mailing Address - Phone:949-551-4233
Mailing Address - Fax:949-551-4233
Practice Address - Street 1:27 REDWOOD TREE LN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2226
Practice Address - Country:US
Practice Address - Phone:949-551-4233
Practice Address - Fax:949-551-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 5104174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty