Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Agnes Soriano Wallbom, MD, MS

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1316976509

Agnes Soriano Wallbom, MD, MS is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

11301 Wilshire Blvd # 117 Glavahs Dept Pm&r
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Fax: (310) 268-4935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence G078095 (CA)

Record details

NPI number1316976509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedJuly 1, 2006
Last updated in NPPESJuly 8, 2007

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