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Donald E Wallens Md A Medical Corp
Specialist in Los Angeles, California
NPI 1982916037

Donald E Wallens Md A Medical Corp is a Specialist based in Los Angeles, CA. Donald E Wallens Md A Medical Corp practices in Los Angeles, CA. The NPI Number for Donald E Wallens Md A Medical Corp is 1982916037 and holds a License No. G12632 (California).

The current practice location address for Donald E Wallens Md A Medical Corp is 2080 Century Park E Ste 1406, Los Angeles, CA and can be reached out via phone at 310-556-2095 and via fax at 310-556-2063.

Location: 2080 Century Park E Ste 1406, Los Angeles, CA, 90067-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982916037
Provider Name
Donald E Wallens Md A Medical Corp
Credential
Provider Entity Type
Organization
Address
2080 Century Park E Ste 1406, Los Angeles, CA, 90067-2017
Phone Number
310-556-2095
Fax Number
310-556-2063
Provider Enumeration Date
07/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AW4316546 01 CA MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
2080 Century Park E Ste 1406
City
Los Angeles
State
California
Zip
90067-2017
Phone Number
310-556-2095
Fax Number
310-556-2063
person
Provider Business Mailing Address Details
Address
2080 Century Park E Ste 1406
City
Los Angeles
State
California
Zip
90067-2017
Phone Number
310-556-2095
Fax Number
310-556-2063
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G12632 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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