Dr. Mark S Wallen is a Santa Monica, California based male podiatrist with 42 years of experience in Podiatry. He completed his graduation in 1982. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Mark S Wallen for Podiatry is E3104 in California. Dr. Mark S Wallen is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Mark S Wallen 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:
Podiatrist
Credentials:
DPM
Experience:
42+ years
Medical School Attended:
Other
Graduation Year:
1982
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
2001 Santa Monica Blvd, #1190w, Santa Monica, California, 90404-2102
Phone:
310-828-0122
Fax:
310-828-4463
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:
7315990496
Enrollment ID:
I20050303000545
NPI Number:
1306811674
NPI Enumeration Date:
21 Feb, 2006
NPI Last Update On:
21 Jan, 2020
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. Mark S Wallen are as mentioned below.
License Number
Specialization
State
Status
E3104
Podiatry
California
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Mark S Wallen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Santa Monica Podiatry Group Inc (5193825495)
3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1260 15th St, Ste 1014 Santa Monica, California
Zip:
90404-1145
Phone Number:
310-828-0122
Fax Number:
310-828-4463
Patients can reach Dr. Mark S Wallen at 2001 Santa Monica Blvd, #1190w, Santa Monica, California or can call to book an appointment on 310-828-0122. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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