Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANT CHARLES WALLACE, M.D.
ActiveDR. GRANT CHARLES WALLACE, M.D. is a Diagnostic Radiology healthcare provider located in OCEANSIDE, California. NPI 1043208101 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · OCEANSIDE, CA
Registration Details
- NPI Number
- 1043208101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.802712732779 yrs)
- Last Updated
- Sep 25, 2023
- License
-
G80310 (CA)
Practice Information
- Address
-
200 MERCY CIRCLEOCEANSIDE, CA, 92055Browse CA providers · Browse ZIP 92055
- Phone
- 7607193479
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in OCEANSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE J BIEDERMAN | MD | 1790780997 |
| RONALD JOSEPH WILLY | M.D. | 1306802764 |
| WILLIAM HERNDON JOHNSON | M.D. | 1538266481 |
| DR. STEVEN LLOYD EPNER | MD | 1720187800 |
| JEFFREY STEVEN MILLER | M.D. | 1255418448 |
| KENRIC TURINGAN ABAN | M.D. | 1336218023 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.