Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Paul Wesley Wallace, MD

Individual provider Dermatology Physician · NPI 1063494474

Dr. Paul Wesley Wallace, MD is a Dermatology in Beverly Hills, California. Graduated from University of Oklahoma College of Medicine in 1989, 37 years ago. Licensed in California.

Years since qualifying
37
Trained at
University of Oklahoma College of Medicine
Licensed in
CA
In the registry since
2005
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

8920 Wilshire Blvd Ste 327
Beverly 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 A049918 (CA)

Record details

NPI number1063494474
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 19, 2005
Last updated in NPPESOctober 16, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY, SPORTS MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated

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