DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY ELLEN WAKIM, M.D.

Active

DR. MARY ELLEN WAKIM, M.D. is a Pediatrics healthcare provider located in SAN FERNANDO, California. NPI 1720089337 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SAN FERNANDO, CA

Registration Details

NPI Number
1720089337
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2005 (20.985568015726 yrs)
Last Updated
Apr 15, 2013
License
G6859 (CA)

Practice Information

Address
1600 SAN FERNANDO RD
SAN FERNANDO, CA, 913403115
Browse CA providers · Browse ZIP 91340
Phone
8183658086
Fax
8188984826
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in SAN FERNANDO, CA

Name Credential NPI
LARA ACCAD ABBOTT M.D. 1053312868
MONICA ASNANI M.D. 1457352262
GINA MARIE JOHNSON M.D. 1548261373
SUSAN EGLICK LEVY M.D. 1003817883
MARYANN ZUKIN M.D. 1811998511
RICHARD LEWIS SEIDMAN M.D. 1467453100
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.