HARVEY I WALLACK M.D.
NPI 1811096407
Urology in Thousand Oaks, CA

Q: What is Harvey Wallack's NPI number?

The NPI number for Harvey Wallack is 1811096407. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Harvey Wallack's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Harvey Wallack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 21, 2006

227 W JANSS RD STE 125, THOUSAND OAKS, CA 91360(805) 496-4459(805) 496-3250 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Harvey I Wallack M.d. NPPES

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

HARVEY I WALLACK M.D. (NPI 1811096407) is an individual urology provider in Thousand Oaks, California, licensed in California (G26513) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1811096407

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameHARVEY I WALLACKCredential: M.D.

Location Address227 W JANSS RD STE 125Thousand Oaks, CA 91360-1856

Mailing Address227 W Janss Rd Ste 125Thousand Oaks, CA 91360-1856 · (805) 496-4459 · Fax (805) 496-3250

Phone(805) 496-4459

Fax(805) 496-3250

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811096407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · G26513

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

227 W JANSS RD STE 125, Thousand Oaks, CA 91360

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Other Identifiers 2

Medicare ID-Type UnspecifiedG26513CA

Medicare UPINA43023CA

Other Providers at the Same Location NPPES 10

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

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