Organization
JANE WADA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE WADA M.D. (OWNER)
(818) 957-2066
Entity
Organization
Contact information
Practice address
2103 MONTROSE AVE, SUITE D, MONTROSE, CA 91020-1546
(818) 957-2066
(818) 957-0689
Mailing address
2103 MONTROSE AVE, SUITE D, MONTROSE, CA 91020-1546
(818) 957-2066
(818) 957-0689
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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