Wallace, Jeanne Marie

Wallace, Jeanne Marie is an individual health care provider with primary practice located at 14445 Olive View Dr Olive View Ucla Medical Center, Sylmar CA 91342. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wallace, Jeanne Marie can be contacted via phone (818) 364-4424.

Contact Information

Primary practice address
14445 Olive View Dr Olive View Ucla Medical Center Sylmar CA 91342
Phone: (818) 364-4424
Fax: (818) 364-4428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G30673 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G30673 California

Profile Details

NPI number 1902831381
LBN Legal business name Wallace, Jeanne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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