Becky L Wallin is a Family Medicine in San Jose, California. Becky L Wallin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Becky L Wallin is 1093764078. The last update date is 2023-03-07.
Becky L Wallin's current location address is 2400 Samaritan Dr, San Jose, California. You can contact this provider via phone number 4088799941. The mailing address for Becky L Wallin is 2400 Samaritan Dr, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Becky L Wallin |
|---|---|
| Address | 2400 Samaritan Dr, San Jose, California |
| Phone Number | 4088799941 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093764078 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2400 Samaritan Dr |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951243910 |
| Phone Number | 4088799941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A55243 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A55243 | CA | STATE LICENSE | |
| P00118398 | CA | MEDICARE RAILROAD | |
| 05D1002837 | CA | CLIA |
Post Comment/ Review Below
What is the unique identifier code issued to Becky L Wallin by the Centers for Medicare & Medicaid Services?
The Becky L Wallin has been assigned the NPI (National Provider Identifier) 1093764078. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Becky L Wallin's facilities are geographically located?
The facilities of Becky L Wallin are physically situated at the following location: 2400 Samaritan Dr, San Jose, CA, 951243910.
What is Becky L Wallin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Becky L Wallin's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Becky L Wallin receive its 1093764078 assignment from the Centers for Medicare & Medicaid Services?
The Becky L Wallin was assigned its 1093764078 by the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the information regarding Becky L Wallin most recently updated?
The details pertaining to the Becky L Wallin, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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