Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMIE ELISE WALLACH, MD
ActivePediatrics · ALAMEDA, CA
Registration Details
- NPI Number
- 1154465672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2007 (19.175035430353 yrs)
- Last Updated
- Jul 24, 2023
- Licenses
-
G79903 (CA)G79903 (CA)
Practice Information
- Address
-
1332 PARK ST STE 202ALAMEDA, CA, 945014545Browse CA providers · Browse ZIP 94501
- Phone
- 5105233417
- Fax
- 5105211659
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in ALAMEDA, CA
| Name | Credential | NPI |
|---|---|---|
| PENNY B. HARRIS | M.D. | 1528056850 |
| BARBARA ANNE PARKER | M.D. | 1235128919 |
| TINA SANDY HONG | MD | 1881654739 |
| MRS. GLORIA ALCALA | MD | 1215989009 |
| DR. RICCI LARESE | M.D. | 1265538532 |
| AYANNA SALAMA BENNETT | MD | 1285720961 |
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.