MARK S. WALLEN D.P.M. INC. NPI 1629009055

NPI Information

NPI: 1629009055
Provider Name: MARK S. WALLEN, D.P.M., INC.
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
2001 SANTA MONICA BLVD
1190 W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-0122
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MARK S. WALLEN, D.P.M., INC. is a foot surgery podiatrist in Santa Monica, CA. MARK S. WALLEN, D.P.M., INC. NPI is 1629009055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 SANTA MONICA BLVD
1190 W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 828-0122
Fax: (310) 828-4463

The provider's authorized official is Mark S. Wallen .
The authorized official title is Owner and has the following contact phone number (310) 828-0122.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	E 3104	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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