MISS JENNIFER MARIE WALLACE


Address: 237 Avenida Del Norte, Redondo Beach, CA 90277-5702
Phone: 3104834957

MISS JENNIFER MARIE WALLACE (NPI# 1124579602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124579602
Entity Type Individual
Full Name MISS JENNIFER MARIE WALLACE
Credential L.A.C
Practice Address 237 Avenida Del Norte
Redondo Beach
CA 90277-5702
Practice Telephone 3104834957
Mailing Telephone 3104834957
Enumeration Date 2016-10-19
Last Update Date 2016-12-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist 17329 CA Other Service Providers

Other Providers JENNIFER WALLACE

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1356968440 Jennifer Wallace Technician/Technologist 2041 E 3rd Dr, Mesa, AZ 85204-1401 2020-07-06
1497249882 Jennifer Laird Wallace Licensed Practical Nurse 4468 Duff Rd, Livingston, TX 77351-5627 2018-06-19
1174926984 Jennifer Wallace Specialist/Technologist 806 Patton Chapel Trl, Hoover, AL 35226-2254 2014-10-07
1295083897 Jennifer Wallace Psychologist 4226 Green Lake Rd, West Bloomfield, MI 48323-1139 2012-08-29
1669799086 Jennifer Renea Wallace Counselor 3802 W University Blvd Apt 8104, Durant, OK 74701-3047 2010-04-24
1306035431 Jennifer L Wallace Physical Therapist 3891 50th Ave S, Saint Petersburg, FL 33711-4811 2007-10-15
1316974058 Jennifer Wallace Speech-Language Pathologist 1901 Century Blvd Ne Ste 20, Atlanta, GA 30345-3300 2006-06-27
1992766570 Jennifer P Wallace Specialist 64400 E 26th Ct, Byers, CO 80103-8539 2006-03-31
1730154154 Jennifer Lyn Wallace Family Medicine 1235 Se Division St, Suite 208, Portland, OR 97202-1099 2006-02-20
1699760934 Jennifer L Wallace Internal Medicine 7720 Jones Maltsberger, Suite 110, San Antonio, TX 78216 2005-09-13

Office Location

Street Address 237 AVENIDA DEL NORTE
City REDONDO BEACH
State CA
Zip Code 90277-5702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780215103 Robert John Coffman Psychologist 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 2020-02-04
1952949786 Anne E Pitts Dietitian, Registered 360 The Village Drive Unit 207, Redondo Beach, CA 90277 2019-12-11
1558916841 Dana Bryon Staub Social Worker 205 Ave. I, Suite 17, Redondo Beach, CA 90277 2019-08-05
1376033860 Lisa Ann Graziano Marriage & Family Therapist 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 2018-05-10
1275981326 Carla Marie Vasquez Marriage & Family Therapist 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2016-05-31
1154793628 Marianne M. Cuttic, Dpm, Inc Podiatrist 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 2015-10-23
1841682994 Mary Schopfel Counselor 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2015-02-26
1700287141 Rose Ross Marriage & Family Therapist 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 2014-09-04
1912307661 Gale Hazeltine Physical Therapist 409 N PCh Hwy # 308, Redondo Beach, CA 90277 2014-08-31
1194135889 Physical Therapy Concierge Service Inc Clinic/Center 704 N. Irena, B, Redondo Beach, CA 90277 2014-05-02
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336756105 Stephanie Fuji Nakamura-myers Acupuncturist 334 Paseo De La Playa, Redondo Beach, CA 90277-6248 2020-09-25
1639728876 Kyung Won Park Acupuncturist 901 N Pacific Coast Hwy Ste 106, Redondo Beach, CA 90277-2162 2019-09-10
1265935514 Pyengsoo Jeong Acupuncturist 2316 Artesia Blvd Ste E, Redondo Beach, CA 90278-3187 2018-03-13
1760992267 Leonard Joseph Hicks Acupuncturist 510 N Francisca Ave Apt C, Redondo Beach, CA 90277-7306 2017-10-10
1497277917 Repad Inc Acupuncturist 510 N Prospect Ave Ste 301, Redondo Beach, CA 90277-3030 2017-07-17
1497298368 Su-chen Lee Acupuncturist 1817 Clark Ln, Unit A, Redondo Beach, CA 90278-4103 2016-11-28
1598215410 Andrea Marie Lugo Acupuncturist 2512 Artesia Blvd Ste 160a, Redondo Beach, CA 90278-3264 2016-10-04
1427405190 Tara Greenberg Acupuncturist 2016 Vanderbilt Ln, Unit 3, Redondo Beach, CA 90278-3058 2016-05-23
1811376668 Jaeyoung Kim Acupuncturist 2316 Artesia Blvd, Suite E, Redondo Beach, CA 90278-3187 2015-05-27
1174922983 Serenity Wellness Center,inc Acupuncturist 2512 Artesia Blvd Ste 210, Redondo Beach, CA 90278-3280 2014-08-18
Find all providers in REDONDO BEACH

Competitor

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City REDONDO BEACH
Zip Code 90277

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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