HARVEY I. WALLACK, MD, A MEDICAL CORPORATION – NPI #1902905409
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

HARVEY I. WALLACK, MD, A MEDICAL CORPORATION is an urologist located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1902905409 to HARVEY I. WALLACK, MD, A MEDICAL CORPORATION on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 18 years ago on Dec 17, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HARVEY I. WALLACK, MD, A MEDICAL CORPORATION below.

NPI Profile for
HARVEY I. WALLACK, MD, A MEDICAL CORPORATION

NPI Number
1902905409
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARVEY I. WALLACK, MD, A MEDICAL CORPORATION
Primary location
227 W JANSS RD STE 125
THOUSAND OAKS, CA 91360-1856
Phone: (805) 496-4459 Fax: (805) 496-3250
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HARVEY WALLACK
PRESIDENT/PHYSICIAN
Phone: (805) 496-4459
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
CA G26513

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.