Search › California › 207LP2900X
Mark Wallace, MD
NPI 1427098102 · on the registry since 2006
Practice
- Address
- Ucsd Medical Center
200 West Arbor Drive Mc 0801
San Diego, CA 92103 - Phone
- (619) 543-5720
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 207LP2900X
207LP2900X
- Also registered as
- 207L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-21
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