James I Wallstrom
Medical Specialty
Professional ID
- NPI: 1710927025
- PECOS ID: 3870644677
- Enrollment ID: I20100427000272
- Credential(MD, DO, DPM):
- Medical School: Loma Linda University School Of Medicine
- Medical School Graduation Year: 1989
Hospital Service
- Hospital CCN1: 050124
- Business Name (LBN)1: Usc Verdugo Hills Hospital
Medical Practices
- Organization Name: Verdugo Internal Medicine A Medical Group Inc
- Group Practice ID assigned by PECOS: 2264583160
- Number of Group Practice member: 4
Location
- Address1: 1809 Verdugo Blvd
- Address2: Suite 200
- City: Glendale
- State: California
- Zip Code: 91208
- Phone Number: (818)790-6225
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes