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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Oncology Physician | 2086X0206X | G073000 (CA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G073000 (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.