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WK MEDICAL GROUP NPI 1588083992


NPI Information

NPI: 1588083992
Provider Name: WK MEDICAL GROUP
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
2542 S BASCOM AVE
STE 110
CAMPBELL, CA
ZIP 95008
Phone: (408) 559-3403
Get Directions

WK MEDICAL GROUP is a child and adolescent psychiatry psychiatry neurology in Campbell, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. WK MEDICAL GROUP NPI is 1588083992. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2542 S BASCOM AVE
STE 110
CAMPBELL, CA
ZIP 95008-526
Phone: (408) 559-3403

The provider's authorized official is Bruce Melvin Wermuth .
The authorized official title is President and has the following contact phone number (408) 559-3403.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 6/16/2020.


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
12084P0800XPsychiatry & NeurologyPsychiatryG25581CALIFORNIANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryG25581CALIFORNIAYes

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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