Wall Medical Group

LBN: Wall Medical Group
Wall Medical Group is an health care organization with primary practice located at 455 Grand Ave , South San Francisco CA 94080-3635. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / General Practice, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Wall Medical Group can be contacted via phone (650) 636-1286, or through Brooks, Catherine via phone (650) 636-1291.

Contact Information

Primary practice address
455 Grand Ave South San Francisco CA 94080-3635
Phone: (650) 636-1286
Fax: (650) 588-4164
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Catherine
Phone: (650) 636-1291

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X ZZZ96273Z California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1427008135
LBN Legal business name Wall Medical Group
DBA Doing business as
Authorized official Brooks, Catherine
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Oct 20th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427008135 NPPES
California Other GR0020880 MEDICAL

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