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

Me'Lisa Wallace

Individual provider Ambulatory Care Registered Nurse · NPI 1700618527

Me'Lisa Wallace is an Ambulatory Care Registered Nurse in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1670 E 120th St
Los Angeles, CA 90059-3026
Phone: (424) 338-2937
Show map & directions

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

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 95227389 (CA)

Record details

NPI number1700618527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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