Search › California › 2085R0202X
Grant Wallace, M.D
NPI 1043208101 · on the registry since 2005
Practice
- Address
- 200 Mercy Circle
Oceanside, CA 92055 - Phone
- (760) 719-3479
- Clinicians at this address
- 120
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California