Waller, David

Waller, David is an individual health care provider with primary practice located at 13212 Chapman Ave , Garden Grove CA 92840-4414. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Waller, David can be contacted via phone (854) 588-1422.

Contact Information

Primary practice address
13212 Chapman Ave Garden Grove CA 92840-4414
Phone: (854) 588-1422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-ZYFWNO California

Profile Details

NPI number 1427864479
LBN Legal business name Waller, David
Credentials CPSS, CPR, FIRST AID
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2024
Last updated Oct 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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