DR. Brandon M Wallace, DPM is a foot and ankle surgery podiatrist in Los Angeles, CA with 6 years of experience. DR. Brandon M Wallace, DPM NPI is 1316426679. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2018
The provider's business location address is:
1701 E CESAR E CHAVEZ AVE STE 510
LOS ANGELES, CA
ZIP 90033-488
Phone: (323) 269-5205
The NPI 1316426679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/8/2018 and was last updated on 8/27/2020.