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

Komal Wadhwani, DO

Individual provider Internal Medicine Physician · NPI 1780068841

Komal Wadhwani, DO is an Internal Medicine in Mission Hills, California. Qualified in 2015, 11 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11333 N Sepulveda Blvd
Mission Hills, CA 91346-1116
Phone: (877) 634-3196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A16464 (CA)

Record details

NPI number1780068841
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESOctober 3, 2018
Mailing addressPo Box 9602, Mission Hills, CA 91346-9602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Facey Medical Foundation — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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