IndividualActive
Kenneth Wolf
NPI 1902003478 · Ph.D. Medical Genetics · Los Angeles, CA
Provider details
- NPI number
- 1902003478
- Entity type
- Individual
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AU552 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone: (310) 668-4506
Fax: (310) 763-8909
Approximate (ZIP-level) locationGet directions
Mailing address
17350 Bronte Pl
Granada Hills, CA 91344-1027
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.