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DANIEL J WALLACE M D A MEDICAL CORPORATION NPI 1679652507


NPI Information

NPI: 1679652507
Provider Name: DANIEL J WALLACE M D A MEDICAL CORPORATION

Doing Business As: WALLACE AND LEE CENTER

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
8750 WILSHIRE BLVD STE 210
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 652-0920
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DANIEL J WALLACE M D A MEDICAL CORPORATION is a rheumatology internal medicine in Beverly Hills, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DANIEL J WALLACE M D A MEDICAL CORPORATION NPI is 1679652507. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wallace And Lee Center.

The provider's business location address is:

8750 WILSHIRE BLVD STE 210
BEVERLY HILLS, CA
ZIP 90211-703
Phone: (310) 652-0920
Fax: (310) 360-4812

The provider's authorized official is Daniel J. Wallace .
The authorized official title is Owner/president and has the following contact phone number (310) 652-0920.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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