Mrs Debra Ann Wallace, FNP - Surgery in Los Angeles, CA

Mrs Debra Ann Wallace, FNP is a Surgery - Plastic And Reconstructive Surgery physician based in Los Angeles, California. Mrs Debra Ann Wallace is licensed to practice in California (license number 8326) and her current practice location is 1100 N State Street, Clinic Tower A6a231a, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 409-7788.

NPI number for Mrs Debra Ann Wallace is 1770006538 and her current mailing address is 4632 E Village Rd, Long Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770006538.

Contact Information

Mrs Debra Ann Wallace, FNP
1100 N State Street, Clinic Tower A6a231a,
Los Angeles, CA 90033
(323) 409-7788
(323) 441-7298

Map and Direction




Physician's Profile

Full NameMrs Debra Ann Wallace
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location1100 N State Street, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770006538
  • Provider Enumeration Date: 07/24/2017
  • Last Update Date: 06/16/2018

Medical Identifiers

Medical identifiers for Mrs Debra Ann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770006538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 8326 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Debra Ann Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Debra Ann Wallace, FNP
4632 E Village Rd,
Long Beach, CA 90808-1545

Ph: (323) 409-7788
Mrs Debra Ann Wallace, FNP
1100 N State Street, Clinic Tower A6a231a,
Los Angeles, CA 90033

Ph: (323) 409-7788

Reviews and Comments


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