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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDON M WALLACE, DPM

Active

DR. BRANDON M WALLACE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in WEST COVINA, California. NPI 1316426679 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · WEST COVINA, CA

Registration Details

NPI Number
1316426679
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2018 (7.9766018355281 yrs)
Last Updated
Nov 6, 2025
License
E5705 (CA)

Practice Information

Address
1300 S SUNSET AVE
WEST COVINA, CA, 917903342
Browse CA providers · Browse ZIP 91790
Phone
3232695205
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in WEST COVINA, CA

Name Credential NPI
HSU-TI HUANG D.P.M. 1710051404
BABAK ALAVYNEJAD DPM 1003984436
DR. KENNY KEUI-HSIANG HUANG DPM 1417253147
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.