Ebony Wallace is a psychiatric/mental health registered nurse in Culver City, CA. Ebony Wallace NPI is 1720532526. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9808 VENICE BLVD CULVER CITY, CA ZIP 90232-732 Phone: (310) 945-3350 Fax: (310) 945-3356
The enumeration date for this NPI number is 8/9/2016 and was last updated on 8/9/2016.
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:
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: 3/30/2025
NPI Synchronization or Removal
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