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JIMMY WALLS
NPI 1982988648
Rehabilitation Practitioner in Long Beach, CA

Active since September 29, 2011
2017 E 4TH ST, LONG BEACH, CA 90814(562) 434-4455 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy Walls NPPES

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

JIMMY WALLS (NPI 1982988648) is an individual rehabilitation practitioner in Long Beach, California and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1982988648
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJIMMY WALLS
Location Address2017 E 4TH STLong Beach, CA 90814-1001
Mailing Address2017 E 4th StLong Beach, CA 90814-1001 · (562) 434-4455
Phone(562) 434-4455
Sole ProprietorNo
Enumeration DateSeptember 29, 2011
✔ NPI 1982988648 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.
2017 E 4TH ST, Long Beach, CA 90814
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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.

OSCAR PINEDA
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
JOEL GEMINO
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
REBECCA RUIZ
Day Training/Habilitation Specialist
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
DAVID FERNANDEZ
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
MICHAEL BUITRON
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
KATE KATZBAN-BEREN
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
KATE ROSE MABEL COUGHLIN
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455
MARKUS KASUNICH
Rehabilitation Practitioner
2017 E 4TH ST
LONG BEACH, CA 90814
Los Angeles County (562) 434-4455

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 Jimmy Walls's NPI number?

The NPI number for Jimmy Walls is 1982988648. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Jimmy Walls located?

Jimmy Walls practices at 2017 E 4th St, Long Beach, CA 90814. The listed phone number is (562) 434-4455.

What is Jimmy Walls'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 Jimmy Walls was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.