DR. DANIEL J WALLACE (NPI# 1982608717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982608717 |
| Entity Type | Individual |
| Full Name | DR. DANIEL J WALLACE |
| Credential | M.D. |
| Practice Address |
8750 Wilshire Blvd Ste 350 Beverly Hills CA 90211-2703 |
| Mailing Address |
Po Box 18736 Beverly Hills CA 90209-4736 |
| Practice Telephone | 3106520920 |
| Practice Fax Number | 3106522482 |
| Mailing Telephone | 3106520010 |
| Mailing Fax Number | 3103604812 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G30533 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G305330 | 01 |
| CA | BLUE CROSS | 953744782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841771292 | Daniel Wallace | Counselor | 1001 Blackhawk Dr, University Park, IL 60484-3213 | 2018-08-23 |
| 1184656860 | Daniel G Wallace | Internal Medicine | 3875 Avocado Blvd, La Mesa, CA 91941 | 2006-07-06 |
| 1902395650 | Daniel Wallace | Social Worker | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2018-05-08 |
| 1083848063 | Daniel Charles Wallace | Family Medicine | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2009-05-06 |
| 1275525875 | Daniel Leland Wallace | Family Medicine | 25 Michigan St Ne, Suite 5100, Grand Rapids, MI 49503-2515 | 2005-08-19 |
| Street Address |
8750 WILSHIRE BLVD STE 350 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982029732 | Southern California Vascular Institute Inc | Radiology | 8750 Wilshire Blvd, Suite 150, Beverly Hills, CA 90211-2703 | 2014-03-03 |
| 1154669315 | Katy M. Setoodeh, Md, Inc | Specialist | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2703 | 2013-01-23 |
| 1851652473 | Rhoda F Leichter Md A Medical Corporation | Surgery | 8750 Wilshire Blvd, Ste 150, Beverly Hills, CA 90211-2703 | 2012-05-30 |
| 1881981207 | Beverly Hills Vascular Access Center | Radiology | 8750 Wilshire Blvd, Suite 150, Beverly Hills, CA 90211-2703 | 2011-07-06 |
| 1467756577 | John J. Regan, M.d., Inc. | Orthopaedic Surgery | 8750 Wilshire Blvd, Ste 350, Beverly Hills, CA 90211-2703 | 2011-01-04 |
| 1144539644 | Amiel Moshfegh | Radiology | 8750 Wilshire Blvd, Suite 150, Beverly Hills, CA 90211-2703 | 2010-09-30 |
| 1780818385 | Shalini Mahajan | Psychiatry & Neurology | 8750 Wilshire Blvd, Ste 350, Beverly Hills, CA 90211-2703 | 2009-05-11 |
| 1841444379 | John T. Knight, Md, Inc. | Specialist | 8750 Wilshire Blvd, 350, Beverly Hills, CA 90211-2703 | 2008-11-11 |
| 1225225212 | Stephen P Kay Md, Inc | Orthopaedic Surgery | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700 | 2007-10-03 |
| 1679652507 | Daniel J Wallace Md Inc | Internal Medicine | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2703 | 2006-11-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215317821 | Long Ngoc Pham | Internal Medicine | 250 N Robertson Blvd Ste 603, Beverly Hills, CA 90211-1793 | 2015-06-09 |
| 1396141404 | Ami Ben-artzi Md, Inc. | Internal Medicine | 150 N Robertson Blvd Ste 224, Beverly Hills, CA 90211-2158 | 2014-11-17 |
| 1124160163 | Bruce Lawrence Miller | Internal Medicine | 9400 Brighton Way Ste 201, Beverly Hills, CA 90210-4709 | 2007-02-13 |
| 1003828153 | Seymour Levine | Internal Medicine | 150 North Robertson Blvd, #350, Beverly Hills, CA 90211 | 2006-08-13 |
| 1407857964 | Marilyn A Solsky Md A Medical Corp | Internal Medicine | 150 N Robertson Blvd, Ste 350 N, Beverly Hills, CA 90211-2142 | 2005-08-09 |
| 1063416964 | David S Hallegua | Internal Medicine | 8641 Wilshire Boulevard, Ste 301, Beverly Hills, CA 90211-2921 | 2005-06-08 |
| 1073878229 | Daphne Scaramangas-plumley | Internal Medicine | 8750 Wilshire Blvd Ste 350, Beverly Hills, CA 90211-2700 | 2012-07-12 |
| 1912280090 | Minh Chau T Nguyen Md Inc | Internal Medicine | 150 N Robertson Blvd, 224, Beverly Hills, CA 90211-2142 | 2011-09-24 |
| 1790014330 | Seymour Levine Md A Professional Corporation | Internal Medicine | 150 N Robertson Blvd, Suite 350, Beverly Hills, CA 90211-2127 | 2009-12-10 |
| 1871749606 | David S. Silver, Md Inc | Internal Medicine | 8641 Wilshire Blvd, Suite # 301, Beverly Hills, CA 90211-2900 | 2008-08-12 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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| 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.