Jamie Elise Wallach, MD | |
1332 Park St Ste 202, Alameda, CA 94501-4545 | |
(510) 523-3417 | |
(510) 521-1659 |
Full Name | Jamie Elise Wallach |
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Gender | Female |
Speciality | Pediatrics |
Location | 1332 Park St Ste 202, Alameda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154465672 | NPI | - | NPPES |
1912186834 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080B0002X | Pediatrics - Obesity Medicine | G79903 (California) | Secondary |
208000000X | Pediatrics | G79903 (California) | Primary |
Entity Name | University Healthcare Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292 |
Mailing Address | Practice Location Address |
---|---|
Jamie Elise Wallach, MD 1332 Park St Ste 202, Alameda, CA 94501-4545 Ph: (510) 523-3417 | Jamie Elise Wallach, MD 1332 Park St Ste 202, Alameda, CA 94501-4545 Ph: (510) 523-3417 |
Sang Thi Nguyen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1535 Buena Vista Ave, Alameda, CA 94501 Phone: 480-280-5024 | |
Dr. Yolanda Lau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 Park St # 1209, Alameda, CA 94501 Phone: 510-982-6165 | |
Mrs. Gloria Alcala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St, Suite #202, Alameda, CA 94501 Phone: 510-523-3417 Fax: 510-521-1659 | |
Leo Yee Hung Cheng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2417 Central Ave, Alameda, CA 94501 Phone: 510-749-5731 | |
Kathryn Burge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St Ste 200, Alameda, CA 94501 Phone: 650-342-4145 | |
Barbara Anne Parker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St, Suite 202, Alameda, CA 94501 Phone: 510-523-3417 Fax: 916-239-3614 |