Organization
WALLACE & LEE INFUSION CENTER - A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA CABRERA (BUSINESS ADMINISTRATOR)
(310) 652-2284
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) 652-2284
(310) 855-9309
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
06/10/2022
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