Kenneth E Wolf
Medical Geneticist
12021 Wilmington Ave
Los Angeles
, California 90059-3019
Kenneth E Wolf
Medical Geneticist
12021 Wilmington Ave
Los Angeles
, California 90059-3019
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Kenneth E Wolf
- 17350 Bronte Pl
- Granada Hills, CA
- Zip : 91344-1027
- Phone :
Second Address
- Kenneth E Wolf
- 12021 Wilmington Ave
- Los Angeles, CA
- Zip : 90059-3019
- Fax : (310) 763-8909
- Phone : (310) 668-4506
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | AU552 | CA |
National Provider Identifier
| NPI | 1902003478 |
|---|---|
| Provider Name | Kenneth E Wolf |
| First Address | Granada Hills, CA 91344-1027 |
| Second Address | Los Angeles, CA 90059-3019 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.