Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES DOUGLAS WALLACE, M.D.
ActiveOrthopaedic Surgery · SAN DIEGO, CA
Registration Details
- NPI Number
- 1144229600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (20.769620863286 yrs)
- Last Updated
- Nov 2, 2011
- License
-
G67953 (CA)
Practice Information
- Address
-
3030 CHILDRENS WAYSTE 410SAN DIEGO, CA, 921234232Browse CA providers · Browse ZIP 92123
- Phone
- 8589666789
- Fax
- 8589668519
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DEVANSHU V. KANSARA | M.D. | 1316940109 |
| STEVEN TRADONSKY | M.D. | 1013910900 |
| RINA JAIN | M.D. | 1861495756 |
| DR. WALTER ALAIN THOMAS | MD | 1063404606 |
| DR. JAMES RAYMOND MOITOZA | M.D. | 1538153747 |
| DR. SCOTT WHITTAKER HELMERS | M.D. | 1942296058 |
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.