Dr. Jamie Elise Wallach
M. D. | Pediatrics | Female
Dr. Jamie Elise Wallach, M. D. is a Oakland, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jamie Elise Wallach is
3306 Herrier St, Oakland, California - 94602-4004. She can be contacted on phone at
510-336-0880.
Dr. Jamie Elise Wallach is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jamie Elise Wallach is
1154465672 which was assigned by NPPES on 16 Feb, 2007 and it was last updated on 21 Sep, 2016.
Dr. Jamie Elise Wallach license number is
G79903 for Pediatrics (208000000X) in California.
Dr. Jamie Elise Wallach is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jamie Elise Wallach basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jamie Elise Wallach |
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| Credential : | M. D. |
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| Gender : | Female |
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Business Address:
Dr. Jamie Elise Wallach address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3306 Herrier St
Oakland, CA, 94602-4004
United States |
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| Phone Number : | 510-336-0880 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154465672 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Feb, 2007 |
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| Last Updated On : | 21 Sep, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jamie Elise Wallach are as mentioned. Primary taxonomy code for Dr. Jamie Elise Wallach, M. D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RB0002X | Internal Medicine Bariatric Medicine | No | G79903 | CA |
| 2080B0002X | Pediatrics Obesity Medicine | No | G79903 | CA |
| 208000000X | Pediatrics | Yes | G79903 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jamie Elise Wallach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1912186834 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1332 Park St Ste 202
Alameda, CA, 94501-4545
United States |
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| Phone Number : | 510-523-3417 |
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| Fax Number : | 510-521-1659 |
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Business Location:
Patients can refer following map for directions to
Dr. Jamie Elise Wallach practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.