| Doctor Name: | DR. JAMIE ELISE WALLACH |
| NPI Number: | 1154465672 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. D. |
| License Number: | G79903 |
| Business Practice Address: | 3306 Herrier St Oakland, CA - 946024004 |
| Business Phone Number: | 5103360880 |
| Business Fax Number: | |
| Mailing Address: | 1332 Park St Ste 202, ALAMEDA |
| State: | CA |
| Postal Code: | 945014545 |
| Phone Number: | 5105233417 |
| Fax Number: | 5105211659 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | G79903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |