Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mina Kim Wasson, MD

Individual provider Pediatrics Physician · NPI 1366753022

Dr. Mina Kim Wasson, MD is a Pediatrics Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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

12395 El Camino Real Ste 219
San Diego, CA 92130-3084
Phone: (858) 793-1011
Fax: (858) 793-1035
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence C167860 (CA)

Record details

NPI number1366753022
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2010
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020

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