| David Wallis Medical Corporation | |
|
520 N Prospect Ave Ste 309 Redondo Beach CA 90277-3043 | |
| (424) 437-4700 | |
| (424) 437-8884 |
| Full Name | David Wallis Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 N Prospect Ave Ste 309, Redondo Beach, California |
| Authorized Official Name and Position | David H Wallis (OWNER) |
| Authorized Official Contact | 4244374700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Wallis Medical Corporation Po Box 66657 Seattle WA 98166-0657 Ph: (424) 437-4700 | David Wallis Medical Corporation 520 N Prospect Ave Ste 309 Redondo Beach CA 90277-3043 Ph: (424) 437-4700 |
| NPI Number | 1629736384 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 09/27/2024 |
| Medicare PECOS PAC ID | 4688065154 |
|---|---|
| Medicare Enrollment ID | O20211217001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629736384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David H Wallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255383139 PECOS PAC ID: 8921992199 Enrollment ID: I20040209001308 |
Advanced Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 N Prospect Ave, Ste 306, Redondo Beach, CA 90277 Phone: 310-376-7555 | |
South Bay Regenerative Medical Spa Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277 Phone: 310-792-9100 Fax: 310-792-1180 | |
Soma Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1959 Kingsdale Ave, Redondo Beach, CA 90278 Phone: 310-214-1000 Fax: 310-214-8540 | |
Beijing Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Artesia Blvd Ste 6, Redondo Beach, CA 90278 Phone: 310-217-9088 | |
South Bay Family Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2114 Artesia Blvd, Redondo Beach, CA 90278 Phone: 310-318-2521 | |
Advanced Integrative Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Torrance Blvd, Redondo Beach, CA 90277 Phone: 424-750-6665 | |
Beverly Hills Vein Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 S Pacific Coast Hwy, Redondo Beach, CA 90277 Phone: 310-920-9723 |