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

Dr. Mark S Wallen, DPM

Individual provider Podiatrist · NPI 1306811674

Dr. Mark S Wallen, DPM is a Podiatrist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2001 Santa Monica Blvd #1190W
Santa Monica, CA 90404-2102
Phone: (310) 828-0122
Fax: (310) 828-4463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E3104 (CA)

Record details

NPI number1306811674
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedFebruary 21, 2006
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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