| David Wallis, MD | |
|
520 N Prospect Ave Ste 309, Redondo Beach, CA 90277-3043 | |
| (424) 437-4700 | |
| (424) 437-8884 |
| Full Name | David Wallis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 520 N Prospect Ave Ste 309, Redondo Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255383139 | NPI | - | NPPES |
| 00A776270 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A77627 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Torrance Memorial Medical Center | Torrance, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David Wallis Medical Corporation | 4688065154 | 2 |
| Entity Name | Torrance Health Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083903124 PECOS PAC ID: 1355302134 Enrollment ID: O20110819000276 |
| Entity Name | David Wallis Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629736384 PECOS PAC ID: 4688065154 Enrollment ID: O20211217001343 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wallis, MD Po Box 66657, Seattle, WA 98166-0657 Ph: (424) 437-4700 | David Wallis, MD 520 N Prospect Ave Ste 309, Redondo Beach, CA 90277-3043 Ph: (424) 437-4700 |
William Liu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave Ste 103, Redondo Beach, CA 90277 Phone: 310-376-8816 Fax: 310-374-2806 | |
Connie Teng, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-318-9992 | |
Amie Nguyen Schweis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Torrance Blvd, Redondo Beach, CA 90277 Phone: 310-316-0811 | |
Beverly Chen, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 514 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-937-8555 | |
Samina Khani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 520 N Prospect Ave, Ste 103, Redondo Beach, CA 90277 Phone: 310-376-8816 Fax: 310-374-2806 | |
Dr. Camela Joan Ott, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2114 Artesia Blvd, Redondo Beach, CA 90278 Phone: 310-802-6177 Fax: 310-802-6178 | |
Dr. John Neal Johnson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 502 Torrance Blvd, Redondo Beach, CA 90277 Phone: 310-214-0811 |