| NPI | 1679652507 |
|---|---|
| Doing Business As | WALLACE AND LEE CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL J. WALLACE Owner/President 310-652-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-04-18 |