Daniel J Wallace, MD
Internal Medicine, Rheumatology in Beverly Hills, CA. Individual provider (NPI-1).
NPI number1982608717
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1982608717
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel J Wallace
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2005
- Certification date
- Mar 10, 2022
- Last updated
- Oct 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | G30533 | CA | Yes |
Other names
- Daniel Wallace (Other Name)
Practice location
414 N Camden DriveSuite 1100
Beverly Hills, CA 90210
Phone 310-360-9197 · Fax 310-036-6219
Mailing address
414 N Camden DriveSuite 1100
Beverly Hills, CA 90210
Phone 310-360-9197 · Fax 310-036-6219
Other practice locations
8730 Alden Dr
Los Angeles, CA 90048
Los Angeles, CA 90048
Phone 310-423-3870 · Fax 310-423-0429
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