Wallace Medical Group
Wallace Medical Group is a Dermatology Physician in Beverly Hills, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
8920 Wilshire Blvd #327Beverly Hills, CA 90211-2007
Phone: (310) 652-8460
Fax: (310) 652-8499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence A49918 (CA) |
|---|
Record details
| NPI number | 1154422343 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Wallace — President · (310) 652-8460 |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | October 11, 2007 |
| Mailing address | 8920 Wilshire Blvd, 327, Beverly Hills, CA 90211-2003 |
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