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GREGORY ROY WALLACE MSW
NPI 1073902250
Rehabilitation Practitioner in Van Nuys, CA

Active since January 12, 2015
14545 SHERMAN CIR, VAN NUYS, CA 91405(818) 374-6901 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Roy Wallace Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY ROY WALLACE MSW (NPI 1073902250) is an individual rehabilitation practitioner in Van Nuys, California and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1073902250
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameGREGORY ROY WALLACECredential: MSW
Location Address14545 SHERMAN CIRVan Nuys, CA 91405-3087
Mailing Address14545 Sherman CirVan Nuys, CA 91405-3087 · (818) 374-6901
Phone(818) 374-6901
Sole ProprietorNo
Enumeration DateJanuary 12, 2015
✔ NPI 1073902250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
14545 SHERMAN CIR, Van Nuys, CA 91405
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Psychiatry & Neurology (Psychiatry)
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 901-4830
KATHERINE CHANDLER
Rehabilitation Practitioner
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 901-4854
ANYELY ARCELY PEREZ ORELLANA
Counselor (Professional)
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 901-4854
FRANK YOUKHANA
Social Worker (Clinical)
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 901-4854
MARIA REBECCA SANTOS M.A.
Marriage & Family Therapist
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 376-6880
DORIS EKHATOR COUNCIL NP-C
Nurse Practitioner
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 901-4854
MONICA RUIZ ZARAGOZA
Social Worker
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 770-6152
QUEEN MAY SANTOS
Licensed Vocational Nurse
14545 SHERMAN CIR
VAN NUYS, CA 91405
Los Angeles County (818) 901-4854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Wallace's NPI number?

The NPI number for Gregory Wallace is 1073902250. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Gregory Wallace located?

Gregory Wallace practices at 14545 Sherman Cir, Van Nuys, CA 91405. The listed phone number is (818) 374-6901.

What is Gregory Wallace's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Gregory Wallace was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.