Dr. Timothy Mark Wallace is a Phelan, California based male chiropractor with 26 years of experience in General Chiropractor. He completed his graduation from Los Angeles College Of Chiropractic in 1999. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Timothy Mark Wallace as General Chiropractor is 23400 in California. Dr. Timothy Mark Wallace is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Timothy Mark Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
26+ years
Medical School Attended:
Los Angeles College Of Chiropractic
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
4357 Phelan Rd, Phelan, California, 92371-7675
Phone:
760-868-4481
Fax:
760-868-1879
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628238573
Enrollment ID:
I20120329000730
NPI Number:
1063438307
NPI Enumeration Date:
13 Jul, 2006
NPI Last Update On:
27 Jan, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy Mark Wallace are as mentioned below.
License Number
Specialization
State
Status
23400
Chiropractor
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4357 Phelan Rd, Phelan, California
Zip:
92371-7675
Phone Number:
760-868-4481
Fax Number:
760-868-1879
Patients can reach Dr. Timothy Mark Wallace at 4357 Phelan Rd, Phelan, California or can call to book an appointment on 760-868-4481. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.