| Dr Brandon M Wallace, DPM | |
|
1701 E Cesar E Chavez Ave Ste 510, Los Angeles, CA 90033-2488 | |
| (323) 269-5205 | |
| Not Available |
| Full Name | Dr Brandon M Wallace |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 6 Years |
| Location | 1701 E Cesar E Chavez Ave Ste 510, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316426679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5705 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Care Community Health Center, Inc | 3779494190 | 39 |
| Provider Name | Complete Care Community Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
| Provider Name | Home Foot Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447480785 PECOS PAC ID: 4981744257 Enrollment ID: O20091217000066 |
| Provider Name | Stanley K Mathis Dpm Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649737651 PECOS PAC ID: 7416284138 Enrollment ID: O20190802002564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon M Wallace, DPM 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 Ph: () - | Dr Brandon M Wallace, DPM 1701 E Cesar E Chavez Ave Ste 510, Los Angeles, CA 90033-2488 Ph: (323) 269-5205 |
West Beverly Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3545 Griffith Park Blvd, Los Angeles, CA 90027 Phone: 323-664-4331 Fax: 323-664-4331 | |
Steve M Tung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 | |
University Podiatry Group, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz, #460, Los Angeles, CA 90095 Phone: 310-443-8999 Fax: 310-208-4847 | |
Western Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 966 S Western Ave Ste 205, Los Angeles, CA 90006 Phone: 323-733-1500 Fax: 323-733-1724 | |
Dr. Pegah Samouhi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Los Angeles, CA 90048 Phone: 310-657-2828 | |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3984 S Figueroa St, Los Angeles, CA 90037 Phone: 213-747-7272 Fax: 310-791-3311 | |
Charles E Ananian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 Fax: 323-264-0099 |