Mrs Debra Ann Wallace, FNP | |
1100 N State Street, Clinic Tower A6a231a, Los Angeles, CA 90033 | |
(323) 409-7788 | |
(323) 441-7298 |
Full Name | Mrs Debra Ann Wallace |
---|---|
Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 1100 N State Street, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770006538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 8326 (California) | Primary |
Mailing Address | Practice 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 |
Dr. Peyman Benharash, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10833 Leconte Ave Room 62-215, Los Angeles, CA 90095 Phone: 310-206-6717 Fax: 310-206-5901 | |
Mr. Willis H. Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048 Phone: 310-652-8132 Fax: 310-659-3815 | |
Dr. Christian Jesus Ochoa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033 Phone: 323-442-5849 Fax: 323-442-5956 | |
Dr. Jane Kim Yang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095 Phone: 310-206-6294 Fax: 310-794-9603 | |
Laura Bloom, MD, MS, MBA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2051 Marengo Street, La General Medical Center, Inpatient Tower Room C5l100, Los Angeles, CA 90033 Phone: 510-589-3740 | |
Dr. Kaushal Ramesh Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 San Pablo St, Suite 514, Los Angeles, CA 90033 Phone: 323-442-5988 Fax: 323-442-5735 | |
Rosemary D Dearnley, RN Surgery Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-9554 |