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John George Wallace JR., MD
Emergency Medical Services (Emergency Medicine) Physician in Torrance, California
NPI 1164467320

John George Wallace JR. is a Emergency Medical Services (Emergency Medicine) Physician based in Oklahoma City, CA and is specialized in Emergency Medical Services. John George Wallace JR. practices in Torrance, CA and has the professional credentials of MD. The NPI Number for John George Wallace JR. is 1164467320 and holds a License No. G45690 (California).

The current practice location address for John George Wallace JR. is 4101 Torrance Blvd, Torrance, CA and can be reached out via phone at 310-540-7676 and via fax at 405-751-3183.

Location: 4101 Torrance Blvd, Torrance, CA, 73134-1785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164467320
Provider Name
John George Wallace JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4101 Torrance Blvd, Torrance, CA, 73134-1785
Phone Number
310-540-7676
Fax Number
405-751-3183
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G456900 05 CA
institution
Provider Business Practice Location Address Details
Address
4101 Torrance Blvd
City
Torrance
State
California
Zip
90503-4607
Phone Number
310-540-7676
Fax Number
405-751-3183
person
Provider Business Mailing Address Details
Address
4101 Torrance Blvd
City
Torrance
State
California
Zip
90503-4607
Phone Number
310-540-7676
Fax Number
405-751-3183
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
G45690 (California)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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