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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171100000X | Acupuncturist | 17329 | CA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
237 AVENIDA DEL NORTE |
City | REDONDO BEACH |
State | CA |
Zip Code | 90277-5702 |
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 |
Find all providers in zip 90277 |
Taxonomy Code | 171100000X |
Grouping | Other Service Providers |
Classification | Acupuncturist |
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. |
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 |
City | REDONDO BEACH |
Zip Code | 90277 |
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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.