Individual
HANNAH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
UCLA EMERGENCY MEDICINE, 924 WESTWOOD BLVD, SUITE 300, LOS ANGELES, CA 90095-0001
(310) 794-0585
Mailing address
601 N HAYWORTH AVE, LOS ANGELES, CA 90048-2303
(727) 698-3572
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101266944
VA
207P00000X
Emergency Medicine Physician
A148631
CA
207P00000X
Emergency Medicine Physician
MD82212
SC
207P00000X
Emergency Medicine Physician
ME140712
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
06/06/2019
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