Sandra Louise Wallace in Brea - Infectious Disease
Sandra Louise Wallace - NPI 1235140930
Sandra Louise Wallace is a Infectious Disease in Brea, California. Sandra Louise Wallace practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Sandra Louise Wallace is 1235140930. The last update date is 2011-02-07.
Sandra Louise Wallace's current location address is Po Box 1449, Brea, California. You can contact this provider via phone number 7149961633 and fax number 7149969267. The mailing address for Sandra Louise Wallace is Po Box 1449, Brea, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Louise Wallace |
|---|---|
| Address | Po Box 1449, Brea, California |
| Phone Number | 7149961633 |
| Fax Number | 7149969267 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235140930 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2011-02-07 |
Provider Mailing Address Detail
| Address | Po Box 1449 |
|---|---|
| City | Brea |
| State | California (CA) |
| Post Code | 928221449 |
| Phone Number | 7149961633 |
| Fax Number | 7149969267 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | G403910 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G403910 | CA | -- | |
| 110010430 | RAILROAD RETIREMENT | ||
| 00G403910 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sandra Louise Wallace by the Centers for Medicare & Medicaid Services?
The Sandra Louise Wallace has been assigned the NPI (National Provider Identifier) 1235140930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Sandra Louise Wallace's physical address?
The Sandra Louise Wallace is physically located at Po Box 1449, in the city of Brea, CA, with the postal code 928221449.
What is the Sandra Louise Wallace's area of specialization and corresponding taxonomy classification?
The Sandra Louise Wallace's specialty field is Infectious Disease, and it falls under the taxonomy code 207Ri0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1235140930 assigned to Sandra Louise Wallace?
The Sandra Louise Wallace was issued its 1235140930 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sandra Louise Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sandra Louise Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-02-07.