Wallace, Daniel J
Wallace, Daniel J is an sole proprietor health care provider with primary practice located at 8750 Wilshire Blvd Ste 210 , Beverly Hills CA 90211-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Wallace, Daniel J can be contacted via phone (310) 652-0920.Contact Information
Primary practice address
8750 Wilshire Blvd Ste 210
Beverly Hills CA 90211-2703
Phone: (310) 652-0920
Fax: (310) 652-2482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | G30533 | California |
Profile Details
| NPI number | 1982608717 |
|---|---|
| LBN Legal business name | Wallace, Daniel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982608717 | NPPES |
| California | Other | PG0080544002 | BLUE SHIELD OF CA |
| California | Other | 953744782 | BLUE SHIELD OF CA |
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