Mark S. Wallen, D.P.M., Inc. in Santa Monica - Foot Surgery
Mark S. Wallen, D.P.M., Inc. - NPI 1629009055
Mark S. Wallen, D.P.M., Inc. is a Foot Surgery in Santa Monica, California. Mark S. Wallen, D.P.M., Inc. practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Mark S. Wallen, D.P.M., Inc. is 1629009055. The last update date is 2009-11-13.
Mark S. Wallen, D.P.M., Inc.'s current location address is 2001 Santa Monica Blvd, Santa Monica, California. You can contact this provider via phone number 3108280122 and fax number 3108284463. The mailing address for Mark S. Wallen, D.P.M., Inc. is 2001 Santa Monica Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark S. Wallen, D.P.M., Inc. |
|---|---|
| Address | 2001 Santa Monica Blvd, Santa Monica, California |
| Phone Number | 3108280122 |
| Fax Number | 3108284463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wallen S. Mark |
| Credentials | DPM |
| Telephone Number | 3108280122 |
NPI Number Detail
| NPI Number | 1629009055 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2009-11-13 |
Provider Mailing Address Detail
| Address | 2001 Santa Monica Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904042102 |
| Phone Number | 3108280122 |
| Fax Number | 3108284463 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | E 3104 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark S. Wallen, D.P.M., Inc. by the Centers for Medicare & Medicaid Services?
The Mark S. Wallen, D.P.M., Inc. has been issued the NPI (National Provider Identifier) 1629009055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark S. Wallen, D.P.M., Inc. is physically located?
The Mark S. Wallen, D.P.M., Inc. is physically situated at the following address: 2001 Santa Monica Blvd, Santa Monica, CA, 904042102.
What is Mark S. Wallen, D.P.M., Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark S. Wallen, D.P.M., Inc.'s area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
When did Mark S. Wallen, D.P.M., Inc. receive its 1629009055 assignment?
The Mark S. Wallen, D.P.M., Inc. was assigned its 1629009055 on 2006-07-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark S. Wallen, D.P.M., Inc. most recently updated or revised?
The information pertaining to Mark S. Wallen, D.P.M., Inc., including its address, specialty, and other relevant details, was last updated or revised on 2009-11-13.
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