IndividualActive
Jennifer Wallace, L.A.C
NPI 1124579602 · Acupuncturist · Redondo Beach, CA
Jennifer Wallace, L.A.C is a Acupuncturist provider in Redondo Beach, CA (NPI 1124579602).
Provider details
- NPI number
- 1124579602
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.A.C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17329 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
237 Avenida Del Norte
Redondo Beach, CA 90277-5702
Phone: (310) 483-4957
Street-level locationGet directions
Mailing address
237 Avenida Del Norte
Redondo Beach, CA 90277-5702
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-12-22
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1124579602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 237 Avenida Del Norte, Redondo Beach, CA 90277-5702.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (310) 483-4957.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1124579602) is active in the NPPES registry as of the last update on 2016-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.