Austin Waller

NPI 1508350851 · on the registry since 2018

Practice

Address: 995 Gateway Center Way Ste 300
San Diego, CA 92102
Phone: (619) 398-2168
Fax: (619) 398-2168
Organisation at this address: Sands-Smith
Clinica Del Angel
Dva Renal Healthcare Inc
Clinica Medica De La Mora
Healing Chambers Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 246

Additional practice sites

21600 Oxnard St, Woodland Hills, CA

Registry record

Primary taxonomy: 225C00000X
225C00000X
Also registered as: 101YM0800X
103K00000X
171M00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-03-27

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