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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | A049918 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A499180 | 05 |
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 |
Street Address |
8920 WILSHIRE BLVD SUITE 327 |
City | BEVERLY HILLS |
State | CA |
Zip Code | 90211-2007 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90211 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
Find all providers in BEVERLY HILLS |
City | BEVERLY HILLS |
Zip Code | 90211 |
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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.