Wallen, Mark S

Wallen, Mark S is an sole proprietor health care provider with primary practice located at 2001 Santa Monica Blvd #1190W, Santa Monica CA 90404-2102. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wallen, Mark S can be contacted via phone (310) 828-0122.

Contact Information

Primary practice address
2001 Santa Monica Blvd #1190W Santa Monica CA 90404-2102
Phone: (310) 828-0122
Fax: (310) 828-4463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3104 California

Profile Details

NPI number 1306811674
LBN Legal business name Wallen, Mark S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Jan 21st, 2020 - about 4 years ago

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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