person
Dr. Kori L Wallace, MD,PHD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1477843662

Kori L Wallace is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Kori L Wallace practices in Los Angeles, CA and has the professional credentials of MD,PHD. The NPI Number for Kori L Wallace is 1477843662 and holds a License No. (California).

The current practice location address for Kori L Wallace is 757 Westwood Plz, Los Angeles, CA and can be reached out via phone at 310-267-9128.

Location: 757 Westwood Plz, Los Angeles, CA, 90095-9126
person
Provider Profile Details
NPI Number
1477843662
Provider Name
Kori L Wallace
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Female
Address
757 Westwood Plz, Los Angeles, CA, 90095-9126
Phone Number
310-267-9128
Fax Number
Provider Enumeration Date
04/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
757 Westwood Plz
City
State
Zip
90095-9126
Phone Number
310-267-9128
Fax Number
person
Provider Business Mailing Address Details
Address
757 Westwood Plz
City
State
Zip
90095-9126
Phone Number
310-267-9128
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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