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Search › California › 213ES0103X

Brandon Wallace, DPM

NPI 1316426679 · on the registry since 2018

Practice

Address
1300 S Sunset Ave
West Covina, CA 91790
Phone
(323) 269-5205
Organisation at this address
Altamed
Fe B Advincula Md Inc
Altamed Health Services Corp
Jose L. Bautista, M.D., Inc.
Altamed Health Services Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California