location
search-icon
person
Mrs. Debra Ann Wallace, FNP
Plastic and Reconstructive Surgery Physician in Los Angeles, California
NPI 1770006538

Debra Ann Wallace is a Plastic and Reconstructive Surgery Physician based in Long Beach, CA and is specialized in Plastic and Reconstructive Surgery. Debra Ann Wallace practices in Los Angeles, CA and has the professional credentials of FNP. The NPI Number for Debra Ann Wallace is 1770006538 and holds a License No. 8326 (California).

The current practice location address for Debra Ann Wallace is 1100 N State Street, Los Angeles, CA and can be reached out via phone at 323-409-7788 and via fax at 323-441-7298.

Location: 1100 N State Street, Los Angeles, CA, 90808-1545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770006538
Provider Name
Debra Ann Wallace
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1100 N State Street, Los Angeles, CA, 90808-1545
Phone Number
323-409-7788
Fax Number
323-441-7298
Provider Enumeration Date
07/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 N State Street
City
Los Angeles
State
California
Zip
90033
Phone Number
323-409-7788
Fax Number
323-441-7298
person
Provider Business Mailing Address Details
Address
1100 N State Street
City
Los Angeles
State
California
Zip
90033
Phone Number
323-409-7788
Fax Number
323-441-7298
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
8326 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.