PATRICIA A. WALLACE, M.D., INC.
Medical Practice at Crown Valley Pkwy, San Juan Capistrano, CA

License number
California A73003
Category
Medical Practice
Type
Specialist
Owner
Name: DR. PATRICIA ANN WALLACE MD
Title: PRESIDENT
Phone: (949) 364-4400
Address
Address
26732 Crown Valley Pkwy SUITE 327, San Juan Capistrano, CA 92691
National Provider ID: 1316104441
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PATRICIA A. WALLACE, M.D., INC. at bizstanding.com

PATRICIA A. WALLACE, M.D., INC

26732 Crown Vly Pkwy #327, Mission Viejo, CA 92691

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
May 1, 2008
State ID:
C3101467
Business type:
Articles of Incorporation
President:
Patricia A. Wallace President, inactive
Agent:
Patricia A Wallace,Mission Viejo, CA 92691 (Physical)

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