Daniel J Wallace M D a Medical Corporation

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

DANIEL J WALLACE M D A MEDICAL CORPORATION

Doing business as

Wallace and Lee Center

Practice address

8750 Wilshire Blvd Ste 210
Beverly Hills, CA 90211-2703

Phone

(310) 652-0920

Fax

(310) 360-4812

NPI assigned

Nov 2, 2006

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel J. Wallace, MDNPI 1982608717

Title

Owner/President

Phone

(310) 652-0920

Specialties & licenses 1

Addresses

Other names 1

• WALLACE AND LEE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine H. Lee, MD

  • Rheumatology Physician
  • Beverly Hills, CA
  • NPI 1831452101
  Medicare reassignment NPD
• Ashley Negin Banayan, PA-C

  • Medical Physician Assistant
  • Beverly Hills, CA
  • NPI 1700404357
  Medicare reassignment
• Daniel J Wallace, M.D.

  • Rheumatology Physician
  • Beverly Hills, CA
  • NPI 1982608717
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1679652507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18736",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902094736",
            "telephone_number": "310-652-0920",
            "fax_number": "310-360-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 WILSHIRE BLVD STE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112703",
            "telephone_number": "310-652-0920",
            "fax_number": "310-360-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J WALLACE M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-652-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALLACE AND LEE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaun S Daneshrad, M.D.
• Lisa H Dang, M.D.
• Daniel a S Hoffman a Medical Corporation
• Daniel Benhuri M D Corporation
• Daniel Golshani MD
• Daniel Kharrazi MD Inc (Beverly Hills Sunset Orthopedic Surgical)
• Daniel Niku MD Inc
• Daniel Ranchez Anesthesia a Nursing Corporation
• Daniel Shouhed MD Inc
• James Daniel, M.D.

• Rheumatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.