David Wallis Medical Corporation - Medicare Primary Care in Redondo Beach, CA

David Wallis Medical Corporation is a medicare enrolled primary clinic (Internal Medicine) in Redondo Beach, California. The current practice location for David Wallis Medical Corporation is 520 N Prospect Ave Ste 309, Redondo Beach, California. For appointments, you can reach them via phone at (424) 437-4700. The mailing address for David Wallis Medical Corporation is 520 N Prospect Ave Ste 309, Redondo Beach, California and phone number is (424) 437-4700.

David Wallis Medical Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629736384. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (424) 437-4700.

Contact Information

David Wallis Medical Corporation
520 N Prospect Ave Ste 309
Redondo Beach
CA 90277-3043
(424) 437-4700
(424) 437-8884

Primary Care Clinic Profile

Full NameDavid Wallis Medical Corporation
SpecialityInternal Medicine
Location520 N Prospect Ave Ste 309, Redondo Beach, California
Authorized Official Name and PositionDavid H Wallis (OWNER)
Authorized Official Contact4244374700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Wallis Medical Corporation
520 N Prospect Ave Ste 309
Redondo Beach
CA 90277-3043

Ph: (424) 437-4700
David Wallis Medical Corporation
520 N Prospect Ave Ste 309
Redondo Beach
CA 90277-3043

Ph: (424) 437-4700

NPI Details:

NPI Number1629736384
Provider Enumeration Date11/30/2021
Last Update Date11/30/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4688065154
Medicare Enrollment IDO20211217001343

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Medical Identifiers

Medical identifiers for David Wallis Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629736384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. David Wallis Medical Corporation acts as a billing entity for following providers:
Provider NameDavid H Wallis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255383139
PECOS PAC ID: 8921992199
Enrollment ID: I20040209001308

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