Harvey I. Wallack, MD, a Medical Corporation
Harvey I. Wallack, MD, a Medical Corporation is an Urology Physician in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
227 W Janss Rd Ste 125Thousand Oaks, CA 91360-1856
Phone: (805) 496-4459
Fax: (805) 496-3250
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Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence G26513 (CA) |
|---|
Record details
| NPI number | 1902905409 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Harvey Wallack — President/Physician · (805) 496-4459 |
| NPI enumerated | September 21, 2006 |
| Last updated in NPPES | December 17, 2007 |
| Mailing address | 227 W Janss Rd Ste 125, Thousand Oaks, CA 91360-1856 |
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