Search › California › 171M00000X

Michael Wade

NPI 1306516653 · on the registry since 2021 · sole proprietor

Practice

Address
1360 S Anaheim Blvd Unit 101
Anaheim, CA 92805
Phone
(714) 948-7641
Organisation at this address
Pathways Community Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
167

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California