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

HARVEY I WALLACK, M.D.

Active

HARVEY I WALLACK, M.D. is a Urology healthcare provider located in THOUSAND OAKS, California. NPI 1811096407 is currently active in the NPPES registry. Verify at CMS.

Urology · THOUSAND OAKS, CA

Registration Details

NPI Number
1811096407
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.924130736381 yrs)
Last Updated
Jul 8, 2007
License
G26513 (CA)

Practice Information

Address
227 W JANSS RD STE 125
THOUSAND OAKS, CA, 913601856
Browse CA providers · Browse ZIP 91360
Phone
8054964459
Fax
8054963250
Primary Specialty
Urology
208800000X

Other Urology Providers in THOUSAND OAKS, CA

Name Credential NPI
RICHARD T NICHOLS MD 1467404673
DR. KRISTIN JEAN SANTANGELO M.D. 1629015474
KYLE KENNYSTON HIMSL MD 1336205731
DR. JAMES EDWARD PERO M.D. 1255510756
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.