David Alan Wallace, MD | |
11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 | |
(310) 828-2020 | |
(310) 914-3009 |
Full Name | David Alan Wallace |
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Gender | Male |
Speciality | Ophthalmology |
Experience | 47 Years |
Location | 11600 Wilshire Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679576276 | NPI | - | NPPES |
G37076 | Other | CA | CA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G37076 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
D A Wallace Md Inc | 4880718519 | 3 |
Entity Name | D A Wallace Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700105491 PECOS PAC ID: 4880718519 Enrollment ID: O20100908000051 |
Mailing Address | Practice Location Address |
---|---|
David Alan Wallace, MD 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 Ph: (310) 828-2020 | David Alan Wallace, MD 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 Ph: (310) 828-2020 |
Victoria Li-ting Tseng, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Peter Dentone, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Michael Myung-sup Han, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1450 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-6335 Fax: 714-456-8874 | |
Kristin Elizabeth Nesburn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd Street, #390w, Los Angeles, CA 90048 Phone: 310-652-1133 Fax: 310-652-4353 | |
Dr. Stanley S. Kim, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3663 W 6th St, Suite #200, Los Angeles, CA 90020 Phone: 213-385-8500 Fax: 213-385-4896 | |
Homayoun Tabandeh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1245 Wilshire Blvd, 380, Los Angeles, CA 90017 Phone: 213-483-8810 Fax: 213-481-1503 | |
Arnold Barron, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 |