| Dr Brandon M Wallace, DPM | |
|
1300 S Sunset Ave, West Covina, CA 91790-3342 | |
| (323) 269-5205 | |
| Not Available |
| Full Name | Dr Brandon M Wallace |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 1300 S Sunset Ave, West Covina, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316426679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5705 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Care Community Health Center, Inc | 3779494190 | 34 |
| Altamed Health Services Corp | 4284539966 | 16 |
| Provider Name | Complete Care Community Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
| Provider Name | Home Foot Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447480785 PECOS PAC ID: 4981744257 Enrollment ID: O20091217000066 |
| Provider Name | Stanley K Mathis Dpm Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649737651 PECOS PAC ID: 7416284138 Enrollment ID: O20190802002564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon M Wallace, DPM 1300 S Sunset Ave, West Covina, CA 91790-3342 Ph: () - | Dr Brandon M Wallace, DPM 1300 S Sunset Ave, West Covina, CA 91790-3342 Ph: (323) 269-5205 |
Babak Alavynejad, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 741 S Orange Ave, West Covina, CA 91790 Phone: 626-338-1800 | |
Dr. Henry Rick Tseng, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2707 E Valley Blvd Ste 303, West Covina, CA 91792 Phone: 626-330-4866 Fax: 626-330-7989 | |
Harry E Confer, Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1433 W Merced Ave, Suite 310, West Covina, CA 91790 Phone: 626-939-0715 Fax: 626-939-0716 | |
Vascular Interventional Partners Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 935 S Sunset Ave, West Covina, CA 91790 Phone: 626-888-7814 | |
Dr. Kenny Keui-hsiang Huang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 855 N Lark Ellen Ave, Suite C, West Covina, CA 91791 Phone: 626-869-8769 Fax: 949-579-2069 | |
Robert Arnold Abrams D P M A Podiatry Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave, Suite 107, West Covina, CA 91790 Phone: 626-962-9442 Fax: 626-337-7663 |