Organization · Type 2 NPI

Wallace Medical Group, Inc

Procedural Dermatology Physician · Beverly Hills, CA

NPI number 1104047596 Active

Practice location

8920 Wilshire Blvd, Suite 327
Beverly Hills, CA 90211-2007

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XA49918 (CA)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1104047596

Wallace Medical Group, Inc's National Provider Identifier is 1104047596, issued on May 1, 2007. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Beverly Hills, CA. The record was last updated on Oct 16, 2007.