Individual provider · Type 1 NPI

Anne M. Wallace, MD

Plastic and Reconstructive Surgery Physician · San Diego, CA

NPI number 1699732941 Active

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Fax (888) 539-8781

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice locations

  • 9350 Campus Point Dr, La Jolla, CA 92037-1300 · (800) 926-8273
  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 · (800) 926-8273
  • 4520 Executive Dr, San Diego, CA 92121-3018 · (800) 926-8273
  • 4250 1st Ave, San Diego, CA 92103 · (800) 926-8273

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician 2086X0206XG073000 (CA)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XG073000 (CA)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1699732941

Anne M. Wallace, MD's National Provider Identifier is 1699732941, issued on Apr 28, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in San Diego, CA. The record was last updated on Dec 2, 2025.