Individual
JAMES BURTON WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 E 7TH ST, 111C, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5849
Mailing address
2330 MONTEREY RD, SAN MARINO, CA 91108-1640
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G83298
CA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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