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David Wallace, PA-C
NPI 1730852179 · on the registry since 2021
Practice
- Address
- 18350 Roscoe Blvd # 702
Northridge, CA 91325 - Phone
- (818) 280-5961
- Fax
- (818) 280-5983
Additional practice sites
- 5555 Inglewood Blvd, Culver City, CA
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-28
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