Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Ellen Wakim, MD

Individual provider Pediatrics Physician · NPI 1720089337

Dr. Mary Ellen Wakim, MD is a Pediatrics Physician in San Fernando, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone: (818) 365-8086
Fax: (818) 898-4826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G6859 (CA)

Record details

NPI number1720089337
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2005
Last updated in NPPESApril 15, 2013

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