Individual
BASIL MIYOKAWA WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103-2105
(858) 832-2478
Mailing address
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103-2105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A208918
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2024
Last updated
07/09/2026
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