Robert Joseph Wallerstein
Pediatrician Clinical Genetics (M.D.)
655 E Huntington Dr
Monrovia
, California 91016
Robert Joseph Wallerstein
Pediatrician Clinical Genetics (M.D.)
655 E Huntington Dr
Monrovia
, California 91016
(408) 335-8449
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Robert Joseph Wallerstein
- 16557 Marchmont Dr
- Los Gatos, CA
- Zip : 95032-5606
- Phone : (408) 335-8449
Second Address
- Robert Joseph Wallerstein
- 655 E Huntington Dr
- Monrovia, CA
- Zip : 91016
- Phone : (626) 471-7455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | G88350 | CA |
| Y | 208000000X | Pediatrician | G88350 | CA |
National Provider Identifier
| NPI | 1285696203 |
|---|---|
| Provider Name | Robert Joseph Wallerstein |
| First Address | Los Gatos, CA 95032-5606 |
| Second Address | Monrovia, CA 91016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2006 |
| Last Update Date | 16/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01704714 | (05) | NY |
| F89586 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.