| David Wallace, PA-C | |
|
18350 Roscoe Blvd # 702, Northridge, CA 91325-4109 | |
| (818) 280-5961 | |
| Not Available |
| Full Name | David Wallace |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 18350 Roscoe Blvd # 702, Northridge, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730852179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA59863 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Wallace, PA-C 793 Elm St Apt 7, San Carlos, CA 94070-3076 Ph: (650) 862-9145 | David Wallace, PA-C 18350 Roscoe Blvd # 702, Northridge, CA 91325-4109 Ph: (818) 280-5961 |
Ashley Salin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 18345 Sandringham Ct, Northridge, CA 91326 Phone: 818-522-9807 | |
Emily Hannah Hernandez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11633 Killimore Ave, Northridge, CA 91326 Phone: 818-521-9785 | |
Brandon Leon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18350 Roscoe Blvd Ste 600, Northridge, CA 91325 Phone: 818-727-1515 Fax: 818-727-7997 | |
Shant Boshnakian, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Edwin Khachatourians, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Po Box 8285, Northridge, CA 91327 Phone: 818-307-3428 | |
Frank Gregory Abt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Christine Soojin Chong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19133 Index St Unit 4, Northridge, CA 91326 Phone: 818-669-1104 |