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Wallace W Peck, MD
Vascular & Interventional Radiology Physician in Newport Beach, California
NPI 1508810367

Wallace W Peck is a Vascular & Interventional Radiology Physician based in Pasadena, CA and is specialized in Vascular & Interventional Radiology. Wallace W Peck practices in Newport Beach, CA and has the professional credentials of MD. The NPI Number for Wallace W Peck is 1508810367 and holds a License No. G52810 (California).

The current practice location address for Wallace W Peck is One Hoag Drive, Newport Beach, CA and can be reached out via phone at 949-764-5570 and via fax at 949-263-0473.

Location: One Hoag Drive, Newport Beach, CA, 91185-1555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508810367
Provider Name
Wallace W Peck
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Hoag Drive, Newport Beach, CA, 91185-1555
Phone Number
949-764-5570
Fax Number
949-263-0473
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G528100 01 CA BLUE SHIELD
00G528100 05 CA
institution
Provider Business Practice Location Address Details
Address
One Hoag Drive
City
Newport Beach
State
California
Zip
92663-4162
Phone Number
949-764-5570
Fax Number
949-263-0473
person
Provider Business Mailing Address Details
Address
One Hoag Drive
City
Newport Beach
State
California
Zip
92663-4162
Phone Number
949-764-5570
Fax Number
949-263-0473
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
G52810 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G52810 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
G52810 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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