WALLACE MEDICAL GROUP

BEVERLY HILLS, CA
NPI1154422343
Entity TypeOrganization
Authorized ContactPAUL WESLEY WALLACE
President
310-652-8460
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A49918)
Enumeration Date2006-09-26
Last Update Date2007-10-11
Business Address
WALLACE MEDICAL GROUP
8920 WILSHIRE BLVD #327
BEVERLY HILLS, CA 90211-2007
Phone number: 310-652-8460
Mailing Address
WALLACE MEDICAL GROUP
8920 WILSHIRE BLVD #327
BEVERLY HILLS, CA 90211-2003
Phone number: 310-652-8460
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