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NPI Code Detail

MEDICARE: MRS. DAYNA WADMAN ASW

MEDICARE: MRS. DAYNA WADMAN ASW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker135034CA

General Provider Information

NPI Number : 1770448474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAYNA WADMAN ASW
Provider Business Mailing Address
First Line : 3491 KURTZ ST STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4430
Country : US
Telephone Number : 619-320-2404
Fax Number : 619-822-1228
Provider Business Practice Location Address
First Line : 3491 KURTZ ST STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4430
Country : US
Telephone Number : 619-320-2404
Fax Number : 619-822-1228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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