Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE WALLACK, MD
ActiveALICE WALLACK, MD is a Internal Medicine healthcare provider located in PISMO BEACH, California. NPI 1316957103 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · PISMO BEACH, CA
Registration Details
- NPI Number
- 1316957103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2006 (19.834422562547 yrs)
- Last Updated
- May 9, 2012
- License
-
G45399 (CA)
Practice Information
- Address
-
931 OAK PARK BLVDSUITE 101PISMO BEACH, CA, 934493402Browse CA providers · Browse ZIP 93449
- Phone
- 8054742600
- Fax
- 8054742607
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in PISMO BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| DAVID A. BERNHARDT | M.D. | 1720061013 |
| MEGAN M MALZONE | MD | 1518996412 |
| K. GEORGE SACHARIAH | MD | 1285732826 |
| DR. CU Q NGUYEN | MD | 1669534236 |
| MARY A LOWERY | MD | 1023377637 |
| KATHLEEN CHAK | — | 1356754659 |
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.