Paul Wesley Wallace in Beverly Hills - Dermatology

Paul Wesley Wallace - NPI 1063494474

Paul Wesley Wallace is a Dermatology in Beverly Hills, California. Paul Wesley Wallace practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Paul Wesley Wallace is 1063494474. The last update date is 2007-10-16.

Paul Wesley Wallace's current location address is 8920 Wilshire Blvd, Beverly Hills, California. You can contact this provider via phone number 3106528460 and fax number 3106528499. The mailing address for Paul Wesley Wallace is 8920 Wilshire Blvd, Beverly Hills, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Wesley Wallace
Address 8920 Wilshire Blvd, Beverly Hills, California
Phone Number 3106528460
Fax Number 3106528499
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063494474
Provider Enumeration Date 2005-11-19
Last Updated Date 2007-10-16

Provider Mailing Address Detail

Address 8920 Wilshire Blvd
City Beverly Hills
State California (CA)
Post Code 902112007
Phone Number 3106528460
Fax Number 3106528499

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No A049918
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A499180 CA --

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FAQs about Paul Wesley Wallace

What is the unique 10-digit identifier code assigned to Paul Wesley Wallace by the Centers for Medicare & Medicaid Services?

The Paul Wesley Wallace has been issued the NPI (National Provider Identifier) 1063494474 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Paul Wesley Wallace?

The Paul Wesley Wallace is physically situated at 8920 Wilshire Blvd, in the city of Beverly Hills, state of CA, with the postal code 902112007.

What is Paul Wesley Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Paul Wesley Wallace is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063494474 to Paul Wesley Wallace?

The Centers for Medicare & Medicaid Services assigned the 1063494474 to Paul Wesley Wallace on 2005-11-19.

When was the information regarding Paul Wesley Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Paul Wesley Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-16.

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