Individual
JILL MARIE WAALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4405 VANDEVER AVE, SAN DIEGO, CA 92120-3315
(619) 528-5000
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A69683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A696830
—
CA
Enumeration date
01/08/2007
Last updated
11/30/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us