Vijay K Wali M D Inc | |
1001 E Chapman Ave Suite D Fullerton CA 92831-3811 | |
(714) 451-0000 | |
(714) 451-0500 |
Full Name | Vijay K Wali M D Inc |
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Speciality | Internal Medicine |
Location | 1001 E Chapman Ave, Fullerton, California |
Authorized Official Name and Position | Vijay K Wali (PRESIDENT) |
Authorized Official Contact | 7144510000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vijay K Wali M D Inc 1001 E Chapman Ave Suite D Fullerton CA 92831-3811 Ph: (714) 451-0000 | Vijay K Wali M D Inc 1001 E Chapman Ave Suite D Fullerton CA 92831-3811 Ph: (714) 451-0000 |
NPI Number | 1760665384 |
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Provider Enumeration Date | 12/06/2007 |
Last Update Date | 09/26/2011 |
Medicare PECOS PAC ID | 6002000437 |
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Medicare Enrollment ID | O20101029001180 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760665384 | NPI | - | NPPES |
DG346A | Other | CA | MEDICARE GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Vijay Wali |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215970389 PECOS PAC ID: 7618967829 Enrollment ID: I20040526001012 |
Provider Name | Jyotika L Wali |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134195118 PECOS PAC ID: 7113904467 Enrollment ID: I20040702001284 |
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015 | |