Wallach, Jamie Elise

Wallach, Jamie Elise is an individual health care provider with primary practice located at 1332 Park St Ste 202 , Alameda CA 94501-4545. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wallach, Jamie Elise can be contacted via phone (510) 523-3417.

Contact Information

Primary practice address
1332 Park St Ste 202 Alameda CA 94501-4545
Phone: (510) 523-3417
Fax: (510) 521-1659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 2080B0002X G79903 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G79903 California

Profile Details

NPI number 1154465672
LBN Legal business name Wallach, Jamie Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154465672 NPPES
California MEDICAID 1912186834

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