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DONALD E WALLENS MD A MEDICAL CORP NPI 1982916037


NPI Information

NPI: 1982916037
Provider Name: DONALD E WALLENS MD A MEDICAL CORP

Doing Business As: DONALD E WALLENS MD A MEDICAL CORPORATION

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2080 CENTURY PARK E STE 1406
LOS ANGELES, CA
ZIP 90067
Phone: (310) 556-2095
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DONALD E WALLENS MD A MEDICAL CORP is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DONALD E WALLENS MD A MEDICAL CORP NPI is 1982916037. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Donald E Wallens Md A Medical Corporation.

The provider's business location address is:

2080 CENTURY PARK E STE 1406
LOS ANGELES, CA
ZIP 90067-017
Phone: (310) 556-2095
Fax: (310) 556-2063

The provider's authorized official is Sharon Sindell .
The authorized official title is Assistant and has the following contact phone number (310) 556-2095.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 9/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG12632CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AW4316546OTHERCALIFORNIAMEDICARE ID-TYPE UNSPECIFIED

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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