Mark S. Wallen, DPM, Inc
Mark S. Wallen, DPM, Inc provides Foot Surgery Podiatrist services in Santa Monica, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2001 Santa Monica Blvd 1190 WSanta Monica, CA 90404-2102 Not confirmed with CMS for 16 years — call before visiting
Phone: (310) 828-0122
Fax: (310) 828-4463
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence E 3104 (CA) |
|---|
Record details
| NPI number | 1629009055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Wallen — Owner · (310) 828-0122 |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | November 13, 2009 |
| Mailing address | 2001 Santa Monica Blvd, 1190 W, Santa Monica, CA 90404-2102 |