Dr. Timothy Mark Wallace, DC
Dr. Timothy Mark Wallace, DC is a Chiropractic in Phelan, California. Graduated from Los Angeles College of Chiropractic in 1999, 27 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 27
- Trained at
- Los Angeles College of Chiropractic
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- DC — Doctor of Chiropractic
- A licensed chiropractor.
Practice location Address checks out
4357 Phelan RdPhelan, CA 92371-7675
Phone: (760) 868-4481
Fax: (760) 868-1879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chiropractor (primary) | Taxonomy 111N00000X · Licence 23400 (CA) |
|---|
Record details
| NPI number | 1063438307 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DC |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2006 |
| Last updated in NPPES | January 27, 2012 |
| Mailing address | 4357 Phelan Rd, Phelan, CA 92371-7675 |
Medicare enrollment
| Medicare specialty | CHIROPRACTIC |
|---|---|
| Medical school | LOS ANGELES COLLEGE OF CHIROPRACTIC |
| Graduated | 1999 (27 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Phelan
-
Dr. Melissa Angelica Vega, DC, CME
10630 Wilson Ranch Rd, Phelan, CA 92371-7153 · (760) 912-0139