Jerry Kiyoharu Wada M.D.

  • NPI 1487764379
According to our database, the NPI number for Jerry Kiyoharu Wada M.D. is 1487764379 and activated since 17 years ago. Jerry Kiyoharu Wada M.D. is an individual provider who specializes in Hematology & Oncology, and the primary practice location is 1505 Wilson Ter Ste 200, Glendale, CA 91206. You can also contact Jerry Kiyoharu Wada M.D. via telephone number is (818) 409-0105. Provider NPI information was last updated on 03/12/2021.

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Overview of Jerry Kiyoharu Wada M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/30/2006
  • Last updated: 03/12/2021

Primary Scrop of Practice

  • Taxonomy Code: 207RH0003X
  • Specialty: Hematology & Oncology
  • License Number: G22808
  • License State: CA

Provider Mailing Address

  • Address: 541 W Colorado St Ste 205
    Glendale, CA 91204
  • Phone: 323-254-0046
  • Fax: 323-488-9782

Provider Practice Location

  • Address: 1505 Wilson Ter Ste 200
    Glendale, CA 91206
  • Phone: 818-409-0105
  • Fax: 818-409-0151

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 47335
  • License State: CA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 00G228080
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry Kiyoharu Wada M.D.?
  • A: The npi number for Jerry Kiyoharu Wada M.D. is 1487764379.
  • Q: What are Jerry Kiyoharu Wada M.D.'s specialties?
  • A: Jerry Kiyoharu Wada M.D.'s specialties are Hematology & Oncology and different specialities.
  • Q: What is the medical license for Jerry Kiyoharu Wada M.D.?
  • A: The medical license number for Jerry Kiyoharu Wada M.D. is G22808 and issued in CA in USA.
  • Q: Where is Jerry Kiyoharu Wada M.D. practice location?
  • A: Jerry Kiyoharu Wada M.D. is practicing at 1505 Wilson Ter Ste 200, Glendale, CA 91206.
  • Q: How to contact Jerry Kiyoharu Wada M.D.?
  • A: You can contact Jerry Kiyoharu Wada M.D. via 818-409-0105.