| Barry J Wallman Md | |
|
29525 Can Wood St # 305 Agoura Hills CA 91301 | |
| (818) 707-7789 | |
| (818) 707-7797 |
| Full Name | Barry J Wallman Md |
|---|---|
| Speciality | Family Medicine |
| Location | 29525 Can Wood St # 305, Agoura Hills, California |
| Authorized Official Name and Position | Barry J Wallman (SOLE PROPRIETOR) |
| Authorized Official Contact | 8187077789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry J Wallman Md 29525 Can Wood St # 305 Agoura Hills CA 91301 Ph: (818) 707-7789 | Barry J Wallman Md 29525 Can Wood St # 305 Agoura Hills CA 91301 Ph: (818) 707-7789 |
| NPI Number | 1154491934 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154491934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G72087 (California) | Secondary |
| 207Q00000X | Family Medicine | G58527 (California) | Primary |
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