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Ava Wallen

NPI 1851033609 · on the registry since 2022

Practice

Address
3925 Old Redwood Hwy
Santa Rosa, CA 95403
Phone
(707) 566-6060
Organisation at this address
Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-04

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