David Wallis Medical Corporation
NPI 1629736384ActiveOrganization· Internal Medicine· Redondo Beach, CA
Internal Medicine in Redondo Beach, California, registered in NPPES in November 2021. The authorized official on file is David H. Wallis, MD, Owner. Enrolled in Medicare as dme supplier - physician - family practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629736384 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2021 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Family Practice (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Internal Medicine providers in Redondo Beach
- 1528071008
- 1558686832
- 1417603259
- 1336321520
- 1053742106
- 1992218101
- 1063434900
- 1497938039
- 1265595136
- 1447263926
- 1679060495
- 1598931131