Individual provider · Type 1 NPI

Jill Marie Waalen, MD

General Practice Physician · San Diego, CA

NPI number 1578611554 Active

Practice location

4405 Vandever Ave
San Diego, CA 92120-3315

Call (619) 528-5000 Map

Mailing address

393 E Walnut St, 3rd Floor Phr Systems
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA69683 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1578611554

Jill Marie Waalen, MD's National Provider Identifier is 1578611554, issued on Jan 8, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Nov 30, 2007.