Individual
ANDREW MICHAEL WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 892-9873
Mailing address
12698 ANDRETTI ST, MORENO VALLEY, CA 92553-5203
(951) 892-9873
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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