Wallis Annenberg High

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WALLIS ANNENBERG HIGH

Practice address

4000 S Main St
Los Angeles, CA 90037-1022

Phone

(323) 235-6343

NPI assigned

Jul 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorothy Lee

Title

Cfo

Phone

(323) 235-6343

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1164340626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900371022",
            "telephone_number": "323-235-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900371022",
            "telephone_number": "323-235-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLIS ANNENBERG HIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-235-6343"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynton Wallers
• Derek Wallin, D.D.S.
• Benjamin William Walline, DDS, MD
• Anne Walling, MD
• Christopher Glenn Walling, PSYD
• Roi Ann Wallis, M.D.
• Lillie Belle Walls, RADT
• Crystal Lailla Wallstrom, MS, RDN
• Kevin Ross Waloff, MD
• Samantha Walrath, COTA/L

• Local Education Agency (LEA) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.