Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J. WALLACE, M.D.
Active Sole ProprietorDR. MICHAEL J. WALLACE, M.D. is a Anesthesiology healthcare provider located in SANTA MONICA, California. NPI 1144304353 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · SANTA MONICA, CA
Registration Details
- NPI Number
- 1144304353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.785241358444 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C41232 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1328 22ND STSANTA MONICA, CA, 904042032Browse CA providers · Browse ZIP 90404
- Phone
- 3104715852
- Fax
- 3104713958
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| LAURA D ALEXANDER | MD | 1699763094 |
| DR. GENADY SHILYANSKY | M.D. | 1841248564 |
| GRACE C CHANG | MD | 1720024789 |
| DR. KEVIN M. MILLER | M.D. | 1134156227 |
| ERIC SHEN-ZEN HSU | MD | 1972537835 |
| THOMAS DALE BOHLMANN | M.D. | 1265448195 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.