DR. PAUL WESLEY WALLACE


Address: 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2007
Phone: 3106528460

DR. PAUL WESLEY WALLACE (NPI# 1063494474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063494474
Entity Type Individual
Full Name DR. PAUL WESLEY WALLACE
Credential MD
Practice Address 8920 Wilshire Blvd
Suite 327
Beverly Hills
CA 90211-2007
Practice Telephone 3106528460
Practice Fax Number 3106528499
Mailing Telephone 3106528460
Mailing Fax Number 3106528499
Enumeration Date 2005-11-19
Last Update Date 2007-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology A049918 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A499180 05

Other Providers PAUL WALLACE

NPI Name Taxonomy Address Enumeration
1629054598 Paul Wayne Wallace Pharmacist 315 Mlk Way, Tacoma, WA 98405 2005-12-21
1265991335 Paul Michael Wallace Psychiatry & Neurology 401 Parnassus Ave, San Francisco, CA 94143-0984 2019-03-18
1669794764 Paul John Wallace Pharmacist 1993 Dickerson Blvd, Monroe, NC 28110-2795 2010-02-17
1548444318 Paul S Wallace Licensed Practical Nurse 513 Se Quapaw, Bartlesville, OK 74003 2007-12-28
1114044799 Paul David Wallace Licensed Psychiatric Technician 1212 N California St, Stockton, CA 95202-1552 2007-03-26
1770649741 Paul D Wallace Dentist 8305 Walnut Hill Ln, Suite 235, Dallas, TX 75231-4217 2006-12-27
1639287212 Paul Wallace Internal Medicine 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238 2006-08-25
1306875869 Paul R. Wallace Family Medicine 1301 2nd Ave Sw, Largo, FL 33770-3120 2006-06-30

Office Location

Street Address 8920 WILSHIRE BLVD
SUITE 327
City BEVERLY HILLS
State CA
Zip Code 90211-2007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619973922 Tommie Flashman Specialist 8920 Wilshire Blvd, Ste 301, Beverly Hills, CA 90211-2007 2005-06-22
1720596042 Rashidi Chiropractic Inc Acupuncturist 8920 Wilshire Blvd, Beverly Hills, CA 90211-2007 2018-01-22
1629521265 Drs Kevin Michele and Shawn Frawley Beverly Hills Dental Group Inc Dentist 8920 Wilshire Blvd, Suite 701, Beverly Hills, CA 90211-2007 2016-08-01
1750731477 Robin Schaffran Md Inc Dermatology 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2009 2016-06-14
1942661160 Allison Ann Adams Chiropractor 8920 Wilshire Blvd, Suite 411, Beverly Hills, CA 90211 2016-03-15
1487083184 Neil N Hadaegh Dentist 8920 Wilshire Blvd, #625, Beverly Hills, CA 90211-2007 2013-11-04
1700215456 Valerie Yvette Hermann Nurse Practitioner 8920 Wilshire Blvd, Suite 511, Beverly Hills, CA 90211-2007 2013-11-04
1629405774 Sacha Comden Md A Professional Corporation Internal Medicine 8920 Wilshire Blvd, Suite 310, Beverly Hills, CA 90211-2007 2013-10-03
1881026243 Dustin Lee Cohen Dentist 8920 Wilshire Blvd, Suite 410, Beverly Hills, CA 90211-2007 2013-08-07
1205276862 Suzanne L. Berkman, M.d., Inc. Dermatology 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2007 2013-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649817610 Doris Yaghoubtil Physician Assistant 220 S. Hamel Dr., Beverly Hills, CA 90211 2019-12-09
1649831348 Optimum Surgical Inc. Clinic/Center 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 2019-06-24
1760972467 Francisco Javier Iribarren Psychologist 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 2018-05-17
1821533803 The Wright Home Care Inc Respite Care 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 2016-12-29
1497298772 Brain Health Acupuncture Center Acupuncturist 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 2016-11-18
1568918712 Plbc Medical Group, Inc Medical Genetics, Ph.D. Medical Genetics 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 2016-08-28
1104283084 Gilbert Kwong Dentist 127 N. Wetherly Drive, Beverly Hills, CA 90211 2016-01-22
1033511126 Michelle Dabadie Prosthetic/Orthotic Supplier 9022 Burton Way, Los Angeles, CA 90211 2014-09-19
1831599802 Spine Group Beverly Hills Inc Orthopaedic Surgery 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 2014-08-27
1144653650 Jean Alejo Fiore Radiologic Technologist 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 2013-08-20
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982179065 Roxbury Dermatology and Multispecialty Practice Inc Dermatology 450 N Roxbury Dr Ste 410, Beverly Hills, CA 90210-4231 2018-10-04
1689189854 Radiant Dermatology, Inc. Dermatology 421 N Rodeo Dr Ste T7, Beverly Hills, CA 90210-4531 2017-12-09
1174965016 Jasmine Obioha Dermatology 99 N La Cienega Blvd Ste 202, Beverly Hills, CA 90211-2285 2013-07-19
1760736995 Steven Fisher Rabens Dermatology 213 S Palm Dr, Beverly Hills, CA 90212-3515 2012-11-09
1578896247 Tsippora Shainhouse Dermatology 239 S La Cienega Blvd Ste 200, Beverly Hills, CA 90211-3319 2009-09-14
1912164872 Jason J Emer Dermatology 435 N. Bedford Dr., Suite 312, Beverly Hills, CA 90212-2107 2008-05-19
1093833709 Ladan Shahabi Dermatology 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 2007-03-27
1689720278 Lisa Chipps Dermatology 421 N Rodeo Dr # T7, Beverly Hills, CA 90210-4500 2007-01-26
1124120902 Michael T Bontekoe Dermatology 450 N Roxbury Dr Ste 400, Beverly Hills, CA 90210-4218 2006-09-02
1649388109 Stuart Harris Kaplan Dermatology 435 N Roxbury Dr Ste 210, Beverly Hills, CA 90210-5004 2006-08-26
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Competitor

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City BEVERLY HILLS
Zip Code 90211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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