Individual provider · Type 1 NPI

Glenn Kham Wakam, MD

Surgery Physician · San Diego, CA

NPI number 1972952422 Active

Practice location

4510 Executive Dr
San Diego, CA 92121-3021

Call (800) 926-8273 Map

Mailing address

File 57326
Los Angeles, CA 90074-7326

Other practice locations

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 · (800) 926-8273
  • 3020 Childrens Way, San Diego, CA 92123-4223 · (858) 576-1700

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XA203171 (CA)
Internal Medicine Physician 207R00000X4301117353 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1972952422

Glenn Kham Wakam, MD's National Provider Identifier is 1972952422, issued on Jun 6, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in San Diego, CA. The record was last updated on Sep 5, 2025.