Paul W Wallace (NPI# 1063494474, PAC ID# 9739074196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1063494474 |
| PAC ID by PECOS | 9739074196 |
| Professional Enrollment ID | I20080212000422 |
| Full Name | Paul W Wallace |
| Address |
8920 Wilshire Blvd Suite 327 Beverly Hills CA 90211-2003 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY, SPORTS MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050625 | CEDARS-SINAI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2003 |
| Street Address |
8920 WILSHIRE BLVD SUITE 327 |
| City | BEVERLY HILLS |
| State | CA |
| Zip | 90211-2003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| A Kevin Aminian | Neurology | 8920 Wilshire Blvd, Suite 548, Beverly Hills, CA 90211-1949 | |
| Lia B Labrant | Obstetrics/gynecology | Womens Care of Beverly Hills Medical Group | 8920 Wilshire Blvd, Suite 511, Beverly Hills, CA 90211-1949 |
| John D Romm | Internal Medicine | 8920 Wilshire Blvd, Suite 330, Beverly Hills, CA 90211-2011 | |
| Michael A Bush | Endocrinology | 8920 Wilshire Blvd, Suite 635, Beverly Hills, CA 90211-2010 | |
| Suzanne Berkman | Dermatology | 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2009 | |
| Robert F Katz | Obstetrics/gynecology | Womens Care of Beverly Hills Medical Group | 8920 Wilshire Blvd, Suite 511, Beverly Hills, CA 90211-1949 |
| Annette J Gottlieb | Dermatology | 8920 Wilshire Blvd, Suite 545, Beverly Hills, CA 90211-2009 | |
| Jeffrey A Klemes | Podiatry | 8920 Wilshire Blvd, Suite 635, Beverly Hills, CA 90211-2010 | |
| Mark G Bamberger | Internal Medicine | 8920 Wilshire Blvd, Suite 635, Beverly Hills, CA 90211-2091 | |
| Ruth Feld Cousineau | Obstetrics/gynecology | Womens Care of Beverly Hills Medical Group | 8920 Wilshire Blvd, Suite 511, Beverly Hills, CA 90211-1949 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Millner | Internal Medicine | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| Lindsey N Zamarripa | Nurse Practitioner | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| David Irwin Lintz | Infectious Disease | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Beverly Hills, CA 90211 |
| Martha Roman | Nurse Practitioner | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| Richard P Nigro | Anesthesiology | Brotman Medical Anesthesia Group | 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001 |
| Michael Ryan Kelly | Anesthesiology | Brotman Medical Anesthesia Group | 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001 |
| Martin Lawrence Gordon | Anesthesiology | 9090 Burton Way, Beverly Hills, CA 90211-1661 | |
| Vanessa M Spooner | Clinical Psychologist | 329 N Wetherly Dr, Beverly Hills, CA 90211-1675 | |
| Robert O Ruder | Otolaryngology | 8816 Burton Way, First Floor, Beverly Hills, CA 90211-1715 | |
| Jeffrey S Jumaily | Otolaryngology | 8816 Burton Way, Suite 1, Beverly Hills, CA 90211-1715 | |
| Find all physicians in zip 90211 | |||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
| Specialty | DERMATOLOGY |
| City + Specialty | BEVERLY HILLS + DERMATOLOGY |
Please comment or provide details below to improve the information on Paul W 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.