Organization
DANIEL J WALLACE M D A MEDICAL CORPORATION
Active
Other names
WALLACE AND LEE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J. WALLACE MD (OWNER/PRESIDENT)
(310) 652-0920
Entity
Organization
Contact information
Practice address
8750 WILSHIRE BLVD STE 210, BEVERLY HILLS, CA 90211-2703
(310) 652-0920
(310) 360-4812
Mailing address
PO BOX 18736, BEVERLY HILLS, CA 90209-4736
(310) 652-0920
(310) 360-4812
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
CA
Other
Enumeration date
11/02/2006
Last updated
04/18/2022
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