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MISS JENNIFER MARIE WALLACE L.A.C
NPI 1124579602
Acupuncturist in Redondo Beach, CA

Active since October 19, 2016
237 AVENIDA DEL NORTE, REDONDO BEACH, CA 90277(310) 483-4957 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2016, Oct 19, 2016 (2 updates tracked since 2016).

About Miss Jennifer Marie Wallace L.a.c NPPES

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

MISS JENNIFER MARIE WALLACE L.A.C (NPI 1124579602) is an individual acupuncturist in Redondo Beach, California, licensed in California (17329) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1124579602
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMISS JENNIFER MARIE WALLACECredential: L.A.C
Location Address237 AVENIDA DEL NORTERedondo Beach, CA 90277-5702
Mailing Address237 Avenida Del NorteRedondo Beach, CA 90277-5702 · (310) 483-4957
Phone(310) 483-4957
Sole ProprietorYes
Enumeration DateOctober 19, 2016
Last NPPES UpdateDecember 22, 20162 updates tracked since enumeration
✔ NPI 1124579602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · 17329
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
237 AVENIDA DEL NORTE, Redondo Beach, CA 90277
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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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1124579602. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 237 Avenida Del Norte, Redondo Beach, CA 90277. The listed phone number is (310) 483-4957.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.