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

Alice Wallack, MD

Individual provider Internal Medicine Physician · NPI 1316957103

Alice Wallack, MD is an Internal Medicine Physician in Pismo Beach, 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.

See every abbreviation used in this directory →

Practice location Address checks out

931 Oak Park Blvd Ste 101
Pismo Beach, CA 93449-3402
Phone: (805) 474-2600
Fax: (805) 474-2607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G45399 (CA)

Record details

NPI number1316957103
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESMay 9, 2012
Mailing address931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3402

Other providers in Pismo Beach