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

MR. AUSTIN TANAKA WALLER

Active

MR. AUSTIN TANAKA WALLER is a Rehabilitation Counselor healthcare provider located in SAN DIEGO, California. NPI 1508350851 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Counselor · SAN DIEGO, CA

Registration Details

NPI Number
1508350851
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2018 (8.1592072198873 yrs)
Last Updated
Mar 27, 2025
License
F5130372 (CA)

Practice Information

Address
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA, 921024550
Browse CA providers · Browse ZIP 92102
Phone
6193982168
Fax
6193982168
Primary Specialty
Rehabilitation Counselor
225C00000X
Additional Specialty
Behavior Analyst
Additional Specialty
Case Manager
Additional Specialty
Rehabilitation Counselor

Other Rehabilitation Counselor Providers in SAN DIEGO, CA

Name Credential NPI
KAREN ESPINOSA 1073672895
ANGELA BIBIBANA MALDONADO BA 1205995032
LISA MOUA 1548478415
MR. BRETT B SHUTTLEWORTH 1114175890
JOCELYN MARQUEZ 1043540420
EDWARD J. DIKSA 1639409733
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.