Wallace, Patricia A

Wallace, Patricia A is an sole proprietor health care provider with primary practice located at 26732 Crown Valley Pkwy Suite 327, Mission Viejo CA 92691-6306. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Wallace, Patricia A can be contacted via phone (949) 364-4400.

Contact Information

Primary practice address
26732 Crown Valley Pkwy Suite 327 Mission Viejo CA 92691-6306
Phone: (949) 364-4400
Fax: (949) 364-2829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A73003 California
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X A73003 California

Profile Details

NPI number 1629162995
LBN Legal business name Wallace, Patricia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Aug 19th, 2014 - about 11 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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