MS. DEBORAH WALLACH


Address: 9090 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1850
Phone: 3108888680

MS. DEBORAH WALLACH (NPI# 1326594144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326594144
Entity Type Individual
Full Name MS. DEBORAH WALLACH
Credential FNP-BC, OCN, PMN
Practice Address 9090 Wilshire Blvd
Suite 200
Beverly Hills
CA 90211-1850
Mailing Address 812 Camino Real Unit 102
Redondo Beach
CA 90277-4301
Practice Telephone 3108888680
Mailing Telephone 4242473150
Enumeration Date 2016-08-31
Last Update Date 2016-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95004542 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9090 WILSHIRE BLVD
SUITE 200
City BEVERLY HILLS
State CA
Zip Code 90211-1850

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NPI Name Taxonomy Address Enumeration
1083610570 Julie Anne Dunhill Internal Medicine 9090 Wilshire Blvd, Ste 200, Beverly Hills, CA 90211-1850 2005-06-21
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1609153246 Melinda R Sobel Marriage & Family Therapist 9090 Wilshire Blvd, Beverly Hills, CA 90211-1848 2011-11-10
1285954636 Jodi Newson Dietitian, Registered 9090 Wilshire Blvd, Beverly Hills, CA 90211-1848 2010-06-08
1164632287 Mary Grace Brandon Nurse Practitioner 9090 Wilshire Blvd, 200, Beverly Hills, CA 90211-1848 2007-05-24
1215052204 Ann Marie Siney-yeh Nurse Practitioner 9090 Wilshire Blvd, Ste 200, Tower Hematology Oncology Medical Group, Beverly Hills, CA 90211-1848 2007-03-20
1447390356 Marianne H. Simon Nurse Practitioner 9090 Wilshire Blvd, Second Floor, Beverly Hills, CA 90211-1848 2007-02-08
1558392597 Tower Digestive Health Medical Group Internal Medicine 9090 Wilshire Blvd, Suite 101, Beverly Hills, CA 90211-1848 2006-07-06
1306876263 Jonathan C Ellis Internal Medicine 9090 Wilshire Blvd, Suite 101, Beverly Hills, CA 90211-1848 2006-07-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649817610 Doris Yaghoubtil Physician Assistant 220 S. Hamel Dr., Beverly Hills, CA 90211 2019-12-09
1649831348 Optimum Surgical Inc. Clinic/Center 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 2019-06-24
1760972467 Francisco Javier Iribarren Psychologist 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 2018-05-17
1821533803 The Wright Home Care Inc Respite Care 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 2016-12-29
1497298772 Brain Health Acupuncture Center Acupuncturist 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 2016-11-18
1568918712 Plbc Medical Group, Inc Medical Genetics, Ph.D. Medical Genetics 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 2016-08-28
1104283084 Gilbert Kwong Dentist 127 N. Wetherly Drive, Beverly Hills, CA 90211 2016-01-22
1033511126 Michelle Dabadie Prosthetic/Orthotic Supplier 9022 Burton Way, Los Angeles, CA 90211 2014-09-19
1831599802 Spine Group Beverly Hills Inc Orthopaedic Surgery 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 2014-08-27
1144653650 Jean Alejo Fiore Radiologic Technologist 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 2013-08-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1811538978 Ayesha Oglesby Nurse Practitioner 18250 Huntley Sq N Apt 1824, Beverly Hills, MI 48025-5355 2019-09-30
1437715695 Aleksandra Vartapetova Nurse Practitioner 9663 Santa Monica Blvd Ste 883, Beverly Hills, CA 90210-4303 2019-05-14
1164941696 Jennifer Hollander Nurse Practitioner 153 S Lasky Dr Ste 8, Beverly Hills, CA 90212-1721 2017-09-15
1942658851 Mariana Vergara Nurse Practitioner 435 N Bedford Dr Ste 402, Beverly Hills, CA 90210-4334 2016-06-01
1942476064 Eileen P Walsh Nurse Practitioner 212 S Maple Dr, Beverly Hills, CA 90212-4014 2008-05-08
1487294708 Chelsi Dayrit Nurse Practitioner 9675 Brighton Way Ste 380, Beverly Hills, CA 90210-5187 2020-01-15
1992358725 Jillian Alexandra Roy Nurse Practitioner 421 N Rodeo Dr Ste T7, Beverly Hills, CA 90210-4531 2019-07-21
1669938320 Kelly Peiffer Nurse Practitioner 436 N Bedford Dr Ste 105, Beverly Hills, CA 90210-4323 2019-02-18
1912462961 Alla Maksimova Nurse Practitioner 8920 Wilshire Blvd Ste 520, Beverly Hills, CA 90211-1949 2019-02-04
1174018931 Rakel K Assk Nurse Practitioner 31333 Southfield Rd Ste 130, Beverly Hills, MI 48025-5473 2018-06-25
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Competitor

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City BEVERLY HILLS
Zip Code 90211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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