Nivedita Wallace Medical Corporation

NPI #1033135751 in Oxnard, California

Provider Information

NPI Number: 1033135751
Entity Type: Organization
Organization Name: Nivedita Wallace Medical Corporation
Primary Specialty: Anesthesiology
Enumeration Date: Jul 14, 2006
Last Updated: Mar 18, 2008

Practice Location

Address: 1600 N ROSE AVE
City: Oxnard
State: California
ZIP Code: 93030-3722
Phone: (805) 988-2500

Authorized Official

Name: DR. NIVEDITA S. WALLACE, M.D.
Title: PRESIDENT
Phone: (310) 440-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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