DR. MINA KIM WASSON MD
NPI 1366753022
Pediatrics in San Diego, CA

Q: What is Mina Wasson's NPI number?

The NPI number for Mina Wasson is 1366753022. It was assigned to this individual provider in the NPPES registry on June 28, 2010. The provider is also known as Mina Kim MD.

Q: What is Mina Wasson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mina Wasson was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2010

12395 EL CAMINO REAL STE 219, SAN DIEGO, CA 92130(858) 793-1011(858) 793-1035 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Feb 9, 2016, Jan 16, 2016 (3 updates tracked since 2016).

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About Dr. Mina Kim Wasson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MINA KIM WASSON MD (NPI 1366753022) is an individual pediatrics provider in San Diego, California, licensed in California (C167860) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1366753022

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MINA KIM WASSONCredential: MD

Location Address12395 EL CAMINO REAL STE 219San Diego, CA 92130-3084

Mailing Address3880 Murphy Canyon Rd Ste 200San Diego, CA 92123-4411 · (858) 636-4300 · Fax (858) 636-4319

Phone(858) 793-1011

Fax(858) 793-1035

Sole ProprietorYes

Enumeration DateJune 28, 2010

Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration

NPPES CertifiedAugust 12, 2020

✔ NPI 1366753022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · C167860

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12395 EL CAMINO REAL STE 219, San Diego, CA 92130

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Other Names 1

Former Name (1)Mina Kim Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Wasson's NPI number?

The NPI number for Mina Wasson is 1366753022. It was assigned to this individual provider in the NPPES registry on June 28, 2010. The provider is also known as Mina Kim MD.

Where is Mina Wasson located?

Mina Wasson practices at 12395 El Camino Real Ste 219, San Diego, CA 92130. The listed phone number is (858) 793-1011.

What is Mina Wasson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mina Wasson was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.