Patricia A Wallace
Female Pelvic Medicine and Reconstructive Surgeon
26732 Crown Valley Pkwy Suite 327
Mission Viejo
, California 92691-6306
Patricia A Wallace
Female Pelvic Medicine and Reconstructive Surgeon
26732 Crown Valley Pkwy Suite 327
Mission Viejo
, California 92691-6306
(949) 364-2829
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Patricia A Wallace
- 26732 Crown Valley Pkwy Suite 327
- Mission Viejo, CA
- Zip : 92691-6306
- Fax : (949) 364-2829
- Phone : (949) 364-4400
Second Address
- Patricia A Wallace
- 26732 Crown Valley Pkwy Suite 327
- Mission Viejo, CA
- Zip : 92691-6306
- Fax : (949) 364-2829
- Phone : (949) 364-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A73003 | CA |
National Provider Identifier
| NPI | 1629162995 |
|---|---|
| Provider Name | Patricia A Wallace |
| First Address | Mission Viejo, CA 92691-6306 |
| Second Address | Mission Viejo, CA 92691-6306 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 19/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.