Wakabayashi, Mark

Wakabayashi, Mark is an individual health care provider with primary practice located at 1500 E Duarte Rd , Duarte CA 91010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Wakabayashi, Mark can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 E Duarte Rd Duarte CA 91010
Phone: (626) 256-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A71305 California
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X A71305 California

Profile Details

NPI number 1467547398
LBN Legal business name Wakabayashi, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467547398 NPPES
California MEDICAID 00A713050

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