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

DR. OLUKEMI A WALLACE, M.D.

Active Sole Proprietor

DR. OLUKEMI A WALLACE, M.D. is a Specialist healthcare provider located in INGLEWOOD, California. NPI 1609804350 is currently active in the NPPES registry. Verify at CMS.

Specialist · INGLEWOOD, CA

Registration Details

NPI Number
1609804350
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2006 (19.942465515347 yrs)
Last Updated
Aug 14, 2024
License
A48240 (CA)
Sole Proprietor
Yes

Practice Information

Address
2220 W MANCHESTER BLVD
INGLEWOOD, CA, 903052514
Browse CA providers · Browse ZIP 90305
Phone
3106448400
Fax
3106448424
Primary Specialty
Specialist
174400000X

Other Specialist Providers in INGLEWOOD, CA

Name Credential NPI
DR. JACK J FARAHI M.D. 1225034358
DR. ROBIN N STAN M.D. 1912903048
DR. VERNON T HATTORI M.D. 1568468684
DR. PHILLIP S FRANKEL M.D. 1962408070
DR. MASON H WEISS M.D. 1447256565
SIMON KANGAVARI M.D. 1710984208
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.