Barry Wallman

NPI 1952318461 · on the registry since 2006 · sole proprietor

Practice

Address: 29525 Canwood St
#305
Agoura Hills, CA 91301
Phone: (818) 707-7789
Fax: (818) 707-7797
Organisation at this address: Kpi Inc
Zak Dental Corp
Bente Berman Md Inc
Orion Medical Group
Dawn M Terashita, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-04-22

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