Individual provider · Type 1 NPI

Patricia A. Wallace, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Mission Viejo, CA

NPI number 1629162995 Active

Practice location

26732 Crown Valley Pkwy, Suite 327
Mission Viejo, CA 92691-6306

Call (949) 364-4400 Map

Fax (949) 364-2829

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XA73003 (CA)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary 207VF0040XA73003 (CA)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1629162995

Patricia A. Wallace, MD's National Provider Identifier is 1629162995, issued on Oct 3, 2006. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Mission Viejo, CA. The record was last updated on Aug 19, 2014.