DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE MEDICAL GROUP

Active Organization

WALLACE MEDICAL GROUP is a Dermatology organization located in BEVERLY HILLS, California. NPI 1154422343 is currently active in the NPPES registry. Verify at CMS.

Dermatology · BEVERLY HILLS, CA

Registration Details

NPI Number
1154422343
Provider Type
Organization
NPI Issued
Sep 26, 2006 (19.927932820093 yrs)
Last Updated
Oct 11, 2007
License
A49918 (CA)

Practice Information

Address
8920 WILSHIRE BLVD
#327
BEVERLY HILLS, CA, 902112007
Browse CA providers · Browse ZIP 90211
Phone
3106528460
Fax
3106528499
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.