Organization
TOMI LEE WALL MD PC
Active
Other names
Tomi L.Wall
Organization subpart
No
Provider details
NPI number
Authorized official
TOMI LEE WALL MD (CEO)
(925) 348-4366
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST STE 1106, OAKLAND, CA 94609-3125
(510) 763-2662
Mailing address
3300 WEBSTER ST STE 1106, OAKLAND, CA 94609-3125
(510) 763-2662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417947060
NPI - TYPE I
CA
Enumeration date
02/02/2023
Last updated
02/02/2023
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