Individual
DR. GARRETT SCOTT WADA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
936 S BROOKHURST ST, ANAHEIM, CA 92804-4305
(714) 533-2525
(714) 242-9564
Mailing address
936 S BROOKHURST ST, ANAHEIM, CA 92804-4305
(714) 533-2525
(714) 242-9564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10097T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD010097
—
CA
Enumeration date
04/10/2006
Last updated
07/09/2007
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