Daniel Wallace (NPI# 1982608717, PAC ID# 5890739874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1982608717 |
| PAC ID by PECOS | 5890739874 |
| Professional Enrollment ID | I20061215000462 |
| Full Name | Daniel Wallace |
| Organization Legal Name | DANIEL J WALLACE MD INC |
| Address |
8750 Wilshire Blvd Suite 350 Beverly Hills CA 90211-2700 |
| Phone Number | 3106520920 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4981648961 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050625 | CEDARS-SINAI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700 | 3106520920 | DANIEL J WALLACE MD INC |
| Organization Legal Name | DANIEL J WALLACE MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine H Lee | Rheumatology | Daniel J Wallace Md Inc | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700 |
| Street Address |
8750 WILSHIRE BLVD SUITE 350 |
| City | BEVERLY HILLS |
| State | CA |
| Zip | 90211-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vinh N Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Steven R Henderson | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| R Swamy Venuturupalli | Rheumatology | R.s. Venuturupalli, M.d. Inc | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700 |
| Daphne Scaramangas-plumley | Rheumatology | R.s. Venuturupalli, M.d. Inc | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700 |
| Sean M Freyne | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Charles F Brown | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Jeffrey W Rappleye | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Wilson S Wong | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| William A Deruso | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Josephine Lee | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Millner | Internal Medicine | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| Lindsey N Zamarripa | Nurse Practitioner | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| David Irwin Lintz | Infectious Disease | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Beverly Hills, CA 90211 |
| Martha Roman | Nurse Practitioner | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| Richard P Nigro | Anesthesiology | Brotman Medical Anesthesia Group | 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001 |
| Michael Ryan Kelly | Anesthesiology | Brotman Medical Anesthesia Group | 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001 |
| Martin Lawrence Gordon | Anesthesiology | 9090 Burton Way, Beverly Hills, CA 90211-1661 | |
| Vanessa M Spooner | Clinical Psychologist | 329 N Wetherly Dr, Beverly Hills, CA 90211-1675 | |
| Robert O Ruder | Otolaryngology | 8816 Burton Way, First Floor, Beverly Hills, CA 90211-1715 | |
| Jeffrey S Jumaily | Otolaryngology | 8816 Burton Way, Suite 1, Beverly Hills, CA 90211-1715 | |
| Find all physicians in zip 90211 | |||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | BEVERLY HILLS + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Daniel Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.