Wallenstein, David

Wallenstein, David is an individual health care provider with primary practice located at 1920 Colorado Ave , Santa Monica CA 90404-3414. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wallenstein, David can be contacted via phone (310) 319-4700.

Contact Information

Primary practice address
1920 Colorado Ave Santa Monica CA 90404-3414
Phone: (310) 319-4700
Fax: (310) 453-5106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A81052 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A81052 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A81052 California

Profile Details

NPI number 1962417386
LBN Legal business name Wallenstein, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 25th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962417386 NPPES
California MEDICAID 00A810520

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