David Alan Wallace is a Los Angeles, California based male Ophthalmologist with 47 years of experience in Ophthalmology. He completed his graduation from University Of California, San Diego School Of Medicine in 1977. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of David Alan Wallace is G37076 for Ophthalmology in California.
David Alan Wallace is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
David Alan Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Credentials: | M.D. |
| Experience: | 47+ years |
| Medical School Attended: | University Of California, San Diego School Of Medicine |
| Graduation Year: | 1977 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 11600 Wilshire Blvd, Ste 200, Los Angeles,
California, 90025-1782 |
| Phone: | 310-828-2020 |
| Fax: | 310-914-3009 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9436273257 |
| Enrollment ID: | I20100901000402 |
| NPI Number: | 1679576276 |
| NPI Enumeration Date: | 27 May, 2005 |
| NPI Last Update On: | 06 Apr, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Alan Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| G37076 | Ophthalmology | California | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which David Alan Wallace has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| D A Wallace Md Inc (4880718519) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with David Alan Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G37076 | Other | California | CA MEDICAL LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11600 Wilshire Blvd, Ste 200
Los Angeles, California |
| Zip: | 90025-1782 |
| Phone Number: | 310-828-2020 |
| Fax Number: | 310-914-3009 |
Patients can reach David Alan Wallace at
11600 Wilshire Blvd, Ste 200, Los Angeles, California or can
call to book an appointment on 310-828-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.