Dr Paul Wesley Wallace, MD | |
8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2007 | |
(310) 652-8460 | |
(310) 652-8499 |
Full Name | Dr Paul Wesley Wallace |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 36 Years |
Location | 8920 Wilshire Blvd, Beverly Hills, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063494474 | NPI | - | NPPES |
00A499180 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A049918 (California) | Primary |
Entity Name | Wallace Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104047596 PECOS PAC ID: 8123913589 Enrollment ID: O20040216001142 |
Mailing Address | Practice Location Address |
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Dr Paul Wesley Wallace, MD 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2007 Ph: (310) 652-8460 | Dr Paul Wesley Wallace, MD 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2007 Ph: (310) 652-8460 |
Dr. Jeremy Cameron Davis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 Phone: 310-855-7002 Fax: 310-855-7003 | |
Dr. Peter L Kopelson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 414 N Camden Dr, Suite 640, Beverly Hills, CA 90210 Phone: 310-271-7400 Fax: 310-271-0003 | |
Dr. Edgar Franklin Fincher, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 421 N Rodeo Dr, Suite T-7, Beverly Hills, CA 90210 Phone: 310-274-5372 Fax: 310-274-5380 | |
Ms. Melinda Chan, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8929 Wilshire Blvd, Ph Suite 500, Beverly Hills, CA 90211 Phone: 424-256-5272 | |
Dr. Ladan Shahabi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 Phone: 310-855-7002 Fax: 310-855-7003 | |
Eric Alden Lewis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 125 N. Robertson Blvd., Beverly Hills, CA 90211 Phone: 310-289-9700 Fax: 310-289-9779 |