D A WALLACE MD INC is a clinic center in Los Angeles, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). D A WALLACE MD INC NPI is 1700105491. The provider is registered as an organization entity type.
The provider Is Doing Business As La Sight Medical Center A Prof Corp.
The provider's business location address is:
11600 WILSHIRE BLVD.
SUITE 200
LOS ANGELES, CA
ZIP 90025-782
Phone: (310) 828-2020
Fax: (310) 914-3009
The provider's authorized official is David Alan Wallace .
The authorized official title is President and has the following contact phone number (310) 828-2020.
The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.