Donald E Wallens MD a Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

G12632 Issued in CA

Legal business name

DONALD E WALLENS MD A MEDICAL CORP

Practice address

2080 Century Park E Ste 1406
Los Angeles, CA 90067-2017

Phone

(310) 556-2095

Fax

(310) 556-2063

NPI assigned

Jul 6, 2010

Organization subpart

No

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

Authorized official

Name

Sharon Sindell

Title

Assistant

Phone

(310) 556-2095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donald E Wallens MD A Medical Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald E. Wallens, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1952401762
  Medicare reassignment NPD

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1982916037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-556-2095",
            "fax_number": "310-556-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-556-2095",
            "fax_number": "310-556-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E WALLENS MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SINDELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "310-556-2095"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G12632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "AW4316546",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald E Wallens MD A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Donabedian, RN
• Javier Andres Donahoe
• Jacqueline Donahue, PSY.D.
• Shelby Donahue
• Timothy Ryan Donahue, M.D.
• Donald F Nortman MD a Medical Corporation
• Donald P Feigelson DPM,Inc
• Monique Y Donald
• Connita Michelle Donaldson
• Patrice Lynn Donaldson

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.