Dr Mark S Wallen, DPM | |
2001 Santa Monica Blvd, #1190w, Santa Monica, CA 90404-2102 | |
(310) 828-0122 | |
(310) 828-4463 |
Full Name | Dr Mark S Wallen |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 42 Years |
Location | 2001 Santa Monica Blvd, Santa Monica, 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 |
---|---|---|---|
1306811674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E3104 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Santa Monica Podiatry Group Inc | 5193825495 | 4 |
Provider Name | Santa Monica Podiatry Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043245525 PECOS PAC ID: 5193825495 Enrollment ID: O20070716000753 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark S Wallen, DPM 1260 15th St, Ste 1014, Santa Monica, CA 90404-1145 Ph: (310) 828-0122 | Dr Mark S Wallen, DPM 2001 Santa Monica Blvd, #1190w, Santa Monica, CA 90404-2102 Ph: (310) 828-0122 |
Steven H. Silvers, D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd, Suite 983w, Santa Monica, CA 90404 Phone: 310-829-2299 | |
Santa Monica Podiatry Group, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 1260 15th St, Suite 1014, Santa Monica, CA 90404 Phone: 310-451-1618 | |
Mehera Tiffanie Hormuz, Podiatrist Medicare: Medicare Enrolled Practice Location: 2121 Wilshire Blvd, Santa Monica, CA 90403 Phone: 424-238-1042 | |
Jafary Foot & Ankle Specialists Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 Phone: 310-828-0011 | |
Steven H Silvers, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, Ste 983, Santa Monica, CA 90404 Phone: 310-829-2299 | |
Mr. Gary B Briskin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2121 Wilshire Blvd, Suite 101, Santa Monica, CA 90403 Phone: 310-828-0011 Fax: 310-828-2001 | |
Sylvia Wolkowisky, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 724 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-395-0708 |