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Search › California › Case Manager/Care Coordinator

Jesse Wallace

NPI 1174005995 · on the registry since 2018

Practice

Address
21000 Plummer St
Chatsworth, CA 91311
Phone
(818) 882-6400
Organisation at this address
Earl Petrus Md Inc
Child And Family Guidance Center
Rancho San Antonio Boys Home Inc.
Rancho San Antonio Boys Home Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
99

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Sex
Male
Record last updated
2018-08-29

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