David A Wallace (NPI# 1679576276, PAC ID# 9436273257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1679576276 |
| PAC ID by PECOS | 9436273257 |
| Professional Enrollment ID | I20100901000402 |
| Full Name | David A Wallace |
| Organization Legal Name | D A WALLACE MD INC |
| Address |
11600 Wilshire Blvd Suite 200 Los Angeles CA 90025-1782 |
| Phone Number | 3108282020 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4880718519 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11600 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1782 | 3108282020 | D A WALLACE MD INC |
| Organization Legal Name | D A WALLACE MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uday Devgan | Ophthalmology | D A Wallace Md Inc | 11600 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1782 |
| Street Address |
11600 WILSHIRE BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90025-1782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arman Torbati | Oral Surgery | 11600 Wilshire Blvd, Suite 300, Los Angeles, CA 90025-1783 | |
| Steven L Rosenblatt | Family Medicine | 11600 Wilshire Blvd, Suite 320, Los Angeles, CA 90025-1783 | |
| Margaret E Olsen Kohner | Dermatology | 11600 Wilshire Blvd, Suite 406, Los Angeles, CA 90025-1785 | |
| Alexandra Divinsky | Nurse Practitioner | 11600 Wilshire Blvd, Suite 416, Los Angeles, CA 90025-1785 | |
| Ronald K Nudelman | Nephrology | 11600 Wilshire Blvd, Suite 218, Los Angeles, CA 90025-1782 | |
| Lauren Freitas | Physical Therapy | Evolution Physical Therapy, Inc | 11600 Wilshire Blvd, Suite 205, Los Angeles, CA 90025-1782 |
| Daniel Geller | Podiatry | 11600 Wilshire Blvd, Suite 205, Los Angeles, CA 90025-1782 | |
| Shadan Safvati | Internal Medicine | 11600 Wilshire Blvd, Suite 12, Los Angeles, CA 90025-5781 | |
| Frank A Katz | Psychiatry | 11600 Wilshire Blvd, Suite 210, Los Angeles, CA 90025-1782 | |
| Stephen Weisberg | Oral Surgery | 11600 Wilshire Blvd, Suite 520, Los Angeles, CA 90025-1788 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Galligani | Clinical Social Worker | 12340 Santa Monica Blvd, Suite 307, Los Angeles, CA 90025-0348 | |
| Bijan Nikakhtar | Nephrology | 12340 Santa Monica Blvd, West Los Angeles, CA 90025-0405 | |
| Kathy H.k. Langevin | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Joshua M Wieder | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Gloria Elizabeth Mucino | Clinical Social Worker | 12301 Wilshire Blvd, Suite 210, Los Angeles, CA 90025-1000 | |
| Anne V Mcarthur | Physical Therapy | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 | |
| Joan I Essenmacher | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Pallavi Jakatdar | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Robert Kilroy | Chiropractic | 12401 Wilshire Blvd, Suite 104, Los Angeles, CA 90025-1015 | |
| Shannon Collins | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Find all physicians in zip 90025 | |||
| City | LOS ANGELES |
| Zip Code | 90025 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LOS ANGELES + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on David A Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.