DEBRA A. WALLACE FNP – NPI #1770006538
Surgery
A surgeon who specializes in plastic and reconstructive surgery.
DEBRA WALLACE is a surgeon located in LOS ANGELES, CA. NPPES has assigned the NPI number 1770006538 to DEBRA WALLACE on July 24, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery
The NPI profile was previously updated about 8 years ago on Jun 16, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEBRA WALLACE below.
NPI Profile for
DEBRA A. WALLACE
(about 9 years ago)
CLINIC TOWER A6A231A
LOS ANGELES, CA 90033 Phone: (323) 409-7788 Fax: (323) 441-7298
LONG BEACH, CA 90808-1545 Phone: (323) 409-7788 Fax: (323) 441-7298
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0122X - Surgery / Plastic and Reconstructive Surgery (Primary) |
CA | 8326 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.