Search › California › 373H00000X
Johnny Wallace
NPI 1316800345 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3401 Wible Rd Apt 91
Bakersfield, CA 93309 - Phone
- (760) 379-3412
Registry record
- Primary taxonomy
- 373H00000X
373H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-08
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