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

Michael S. Wallack, MD

Individual provider Internal Medicine Physician · NPI 1689791139

Michael S. Wallack, MD is an Internal Medicine Physician in San Fernando, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

1600 San Fernando Rd
San Fernando, CA 91340
Phone: (818) 365-8086
Fax: (818) 898-4826
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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 G12118 (CA)

Record details

NPI number1689791139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESJuly 8, 2007

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