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Search › California › Foot & Ankle Surgery Podiatrist

Brandon Wallace, DPM

NPI 1316426679 · on the registry since 2018

Practice

Address
1300 S Sunset Ave
West Covina, CA 91790
Phone
(323) 269-5205
Organisation at this address
Altamed
Fe B Advincula Md Inc
Altamed Health Services Corp
Jose L. Bautista, M.D., Inc.
Altamed Health Services Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
Foot & Ankle Surgery Podiatrist
213ES0103X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-06

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