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

David Wallis, MD

Individual provider Internal Medicine Physician · NPI 1255383139

David Wallis, MD is an Internal Medicine in Redondo Beach, California. Graduated from University of California, San Diego School of Medicine in 2000, 26 years ago. Practices with David Wallis Medical Corporation, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Trained at
University of California, San Diego School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 N Prospect Ave Ste 309
Redondo Beach, CA 90277-3043
Phone: (424) 437-4700
Fax: (424) 437-8884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A77627 (CA)

Record details

NPI number1255383139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2006
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing addressPo Box 66657, Seattle, WA 98166-0657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice David Wallis Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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