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DR. MINA KIM WASSON MD NPI 1366753022


NPI Information

NPI: 1366753022
Provider Name: DR. MINA KIM WASSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
12395 EL CAMINO REAL STE 219
SAN DIEGO, CA
ZIP 92130
Phone: (858) 793-1011
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DR. Mina Kim Wasson, MD is a pediatrics in San Diego, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Mina Kim Wasson, MD NPI is 1366753022. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12395 EL CAMINO REAL STE 219
SAN DIEGO, CA
ZIP 92130-084
Phone: (858) 793-1011
Fax: (858) 793-1035

The enumeration date for this NPI number is 6/28/2010 and was last updated on 8/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsC167860CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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