Individual provider · Type 1 NPI

Jerry Kiyoharu Wada, MD

Hematology & Oncology Physician · Glendale, CA

NPI number 1487764379 Active

Practice location

1505 Wilson Ter Ste 200
Glendale, CA 91206-4073

Call (818) 409-0105 Map

Fax (818) 409-0151

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XG22808 (CA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

5 other providers at this address

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About NPI 1487764379

Jerry Kiyoharu Wada, MD's National Provider Identifier is 1487764379, issued on Aug 30, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Glendale, CA. The record was last updated on Mar 12, 2021.