Wallace Medical Group
LBN: Wallace Medical Group
Wallace Medical Group is an health care organization with primary practice located at 8920 Wilshire Blvd #327, Beverly Hills CA 90211-2007. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Wallace Medical Group can be contacted via phone (310) 652-8460, or through Wallace, Paul Wesley via phone (310) 652-8460.
Contact Information
Primary practice address
8920 Wilshire Blvd #327
Beverly Hills CA 90211-2007
Phone: (310) 652-8460
Fax: (310) 652-8499
Website:
Authorized official contact:
Name: Wallace, Paul Wesley Doctor of Medicine (MD)
Phone: (310) 652-8460
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A49918 | California |
Profile Details
NPI number | 1154422343 |
---|---|
LBN Legal business name | Wallace Medical Group |
DBA Doing business as | |
Authorized official | Wallace, Paul Wesley Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Oct 11th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154422343 | NPPES |
California | MEDICAID | GR0062021 |
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