Individual provider · Type 1 NPI

Olukemi A. Wallace, MD

Specialist · Inglewood, CA

NPI number 1609804350 Active

Practice location

2220 W Manchester Blvd
Inglewood, CA 90305-2514

Call (310) 644-8400 Map

Fax (310) 644-8424

Mailing address

15342 Hawthorne Blvd, Suite 102
Lawndale, CA 90260-2152

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA48240 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609804350

Olukemi A. Wallace, MD's National Provider Identifier is 1609804350, issued on Jun 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Inglewood, CA. The record was last updated on Aug 14, 2024.