# NORMAN WALL D.O. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073979340
- **Authorized official:** NORMAN WALL D.O. (PRESIDENT)
- **Authorized official phone:** (797) 888-6155

## Contact information

- **Practice address:** 40552 CHANTILLY CIR, TEMECULA, CA 92591-6967
- **Practice address phone:** (707) 888-6155
- **Mailing address:** 40552 CHANTILLY CIR, TEMECULA, CA 92591-6967
- **Mailing address phone:** (707) 888-6155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 20A7180 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2016
- **Last updated:** 01/02/2016