Search › California › 101YA0400X
Wayne Washington, SUDCC III
NPI 1528552338 · on the registry since 2018
Practice
- Address
- 1947 N California St
Stockton, CA 95204 - Phone
- (209) 463-0870
- Organisation at this address
- Aziz Kamali Md Inc
Matrix Rehabilitation, Inc.
Aegis Treatment Centers, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
Additional practice sites
- 11540 Marsh Creek Rd, Clayton, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-01
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