Individual provider · Type 1 NPI

Kody Wakasa, MD

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1073315925 Active

Practice location

2521 Stockton Blvd Ste 7200
Sacramento, CA 95817-2207

Call (916) 734-5005 Map

Mailing address

215 Darrell Rd
Hillsborough, CA 94010-7109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073315925

Kody Wakasa, MD's National Provider Identifier is 1073315925, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 24, 2025.