David Wallis in Redondo Beach - Internal Medicine
David Wallis - NPI 1255383139
David Wallis is a Internal Medicine in Redondo Beach, California. David Wallis practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Wallis is 1255383139. The last update date is 2022-04-13.
David Wallis's current location address is 520 N Prospect Ave Ste 309, Redondo Beach, California. You can contact this provider via phone number 4244374700 and fax number 4244378884. The mailing address for David Wallis is 520 N Prospect Ave Ste 309, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wallis |
|---|---|
| Address | 520 N Prospect Ave Ste 309, Redondo Beach, California |
| Phone Number | 4244374700 |
| Fax Number | 4244378884 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255383139 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 520 N Prospect Ave Ste 309 |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902773043 |
| Phone Number | 4244374700 |
| Fax Number | 4244378884 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A77627 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A776270 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David Wallis by the Centers for Medicare & Medicaid Services?
The David Wallis has been assigned the NPI (National Provider Identifier) 1255383139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David Wallis is located?
The David Wallis is situated at the following address: 520 N Prospect Ave Ste 309, Redondo Beach, CA, 902773043.
What is David Wallis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Wallis is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did David Wallis receive its 1255383139 assignment from the Centers for Medicare & Medicaid Services?
The David Wallis was assigned its 1255383139 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to David Wallis most recently updated or refreshed?
The details pertaining to the David Wallis, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-13.