Organization
IRENE B WAKAM M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE B WAKAM M.D (PRESIDENT)
(805) 652-1515
Entity
Organization
Contact information
Practice address
3555 LOMA VISTA RD STE 215, VENTURA, CA 93003-3161
(805) 652-1515
(805) 652-0445
Mailing address
3555 LOMA VISTA RD STE 215, VENTURA, CA 93003-3161
(805) 652-1515
(805) 652-0445
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C50092
CA
Other
Enumeration date
09/13/2010
Last updated
07/02/2026
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