Individual provider · Type 1 NPI

Alice Wallack, MD

Internal Medicine Physician · Pismo Beach, CA

NPI number 1316957103 Active

Practice location

931 Oak Park Blvd, Suite 101
Pismo Beach, CA 93449-3402

Call (805) 474-2600 Map

Fax (805) 474-2607

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XG45399 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1316957103

Alice Wallack, MD's National Provider Identifier is 1316957103, issued on Aug 8, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Pismo Beach, CA. The record was last updated on May 9, 2012.