WALL MEDICAL GROUP - NPI 1427008135 - General Practice in South San Francisco, CA

Q: What is Wall Medical Group's NPI number?

The NPI number for Wall Medical Group is 1427008135. It was assigned to this organization in the NPPES registry on May 11, 2006.

Q: What is Wall Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Wall Medical Group NPPES

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

WALL MEDICAL GROUP (NPI 1427008135) is a healthcare organization registered as a general practice in South San Francisco, California and active in the NPI registry since May 2006. The organization lists Catherine Brooks, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427008135

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameWALL MEDICAL GROUP

Location Address455 GRAND AVESouth San Francisco, CA 94080-3635

Mailing Address2001 Union St, Suite 300San Francisco, CA 94123-4114 · (650) 636-1291

Phone(650) 636-1286

Fax(650) 588-4164

Organization SubpartNo

Authorized OfficialCatherine BrooksOffice Manager · (650) 636-1291

Enumeration DateMay 11, 2006

Last NPPES UpdateOctober 20, 2014

✔ NPI 1427008135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · ZZZ96273Z

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPhysical TherapistTaxonomy 225100000X

455 GRAND AVE, South San Francisco, CA 94080

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Other Identifiers 2

OtherGR0020880CA · Medical

Medicare ID-Type UnspecifiedZZZ96273ZCA · General Medical Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

COASTSIDE CLINICAL LABORATORY

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