Individual
DR. ERIC YOSHIHIRO WAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2240 N HARBOR BLVD STE 200, FULLERTON, CA 92835-2635
(714) 447-4100
(714) 447-1922
Mailing address
2240 N HARBOR BLVD STE 200, FULLERTON, CA 92835-2635
(714) 447-4100
(714) 447-7922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G61076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040006753
RAIL ROAD MEDICARE
CA
05
—
GR0058670
—
CA
Enumeration date
07/20/2006
Last updated
08/07/2023
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