| NPI | 1982916037 |
|---|---|
| Doing Business As | DONALD E WALLENS MD A MEDICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | SHARON SINDELL Assistant 310-556-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G12632) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2020-09-24 |