Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael J. Wallace, MD

Individual provider Anesthesiology Physician · NPI 1144304353

Dr. Michael J. Wallace, MD is an Anesthesiology Physician in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1328 22nd St
Santa Monica, CA 90404-2032
Phone: (310) 471-5852
Fax: (310) 471-3958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence C41232 (CA)

Record details

NPI number1144304353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007

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