Jerry Kiyoharu Wada (NPI# 1487764379, PAC ID# 8325081219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1487764379 |
| PAC ID by PECOS | 8325081219 |
| Professional Enrollment ID | I20111229000253 |
| Full Name | Jerry Kiyoharu Wada |
| Organization Legal Name | LOS ANGELES HEMATOLOGY-ONCOLOGY |
| Address |
1245 Wilshire Bl Suite 303 Los Angeles CA 90017-4803 |
| Phone Number | 2139771214 |
| Gender | M |
| Graduation Year | 1971 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 6608819594 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 | 2139771214 | LOS ANGELES HEMATOLOGY-ONCOLOGY |
| Organization Legal Name | LOS ANGELES HEMATOLOGY-ONCOLOGY |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Szu-chieh Ho | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Jotika P. Thompson | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Seong Il Kim | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Lasika C Seneviratne | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Sheila Vasan | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Nubar P Boghossian | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Boris Bagdasarian | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Ronald Tang | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Tingting Tan | Internal Medicine | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Weber Chen | Hematology/oncology | Los Angeles Hematology-oncology | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4073 |
| Street Address |
1245 WILSHIRE BL SUITE 303 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90017-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Szu-chieh Ho | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Nupur Kumar | Family Medicine | 1245 Wilshire Bl, Suite 607, Los Angeles, CA 90017-4806 | |
| Jotika P. Thompson | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Seong Il Kim | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Lasika C Seneviratne | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Sheila Vasan | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Nubar P Boghossian | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Boris Bagdasarian | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Ronald Tang | Hematology/oncology | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Tingting Tan | Internal Medicine | Los Angeles Hematology-oncology | 1245 Wilshire Bl, Suite 303, Los Angeles, CA 90017-4803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal Govindarajan | Cardiovascular Disease (cardiology) | 1640 W 3rd St, Los Angeles, CA 90017-1102 | |
| Tricia A Culverhouse | Nurse Practitioner | Arroyo Vista Family Health Foundation | 303 S Loma Dr, 202 Arroyo Vista Family Health Center, Los Angeles, CA 90017-1103 |
| Edward Neymark | Interventional Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | |
| Beatrice C Lau | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Soo M Park | Clinical Social Worker | Special Service for Groups | 1306 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Anna H Woo | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Linda S Cowan | Obstetrics/gynecology | 1111 W 6th St, Fl 2, Los Angeles, CA 90017-1800 | |
| Norma L Blackwater | General Practice | 1125 W 6th St, Suite 103, Los Angeles, CA 90017-1896 | |
| Clan H Hahn | Hematology/oncology | Usc Care Medical Group Inc | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Joyce J Shin | Anesthesiology | Samaritan Anesthesiology Medical Group | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Find all physicians in zip 90017 | |||
| City | LOS ANGELES |
| Zip Code | 90017 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | LOS ANGELES + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Jerry Kiyoharu Wada.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.