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DAVID EDWARD WALLACE MD
NPI 1265236590
Student in an Organized Health Care Education/Training Program in Rancho Mirage, CA

Active since April 03, 2025
39000 BOB HOPE DR OFC STE 201, RANCHO MIRAGE, CA 92270(760) 773-4504 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Edward Wallace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID EDWARD WALLACE MD (NPI 1265236590) is an individual student in an organized health care education/training program in Rancho Mirage, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1265236590
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID EDWARD WALLACECredential: MD
Location Address39000 BOB HOPE DR OFC STE 201Rancho Mirage, CA 92270-3221
Mailing Address39000 Bob Hope Dr Ofc Ste 201Rancho Mirage, CA 92270-3221 · (760) 773-4504
Phone(760) 773-4504
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1265236590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
39000 BOB HOPE DR OFC STE 201, Rancho Mirage, CA 92270
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASMIN FAZLI M.D.
Student in an Organized Health Care Education/Training Program
39000 BOB HOPE DR OFC STE 201
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-4504
GABRIEL NESBITT DO
Student in an Organized Health Care Education/Training Program
39000 BOB HOPE DR OFC STE 201
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-4504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wallace's NPI number?

The NPI number for David Wallace is 1265236590. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is David Wallace located?

David Wallace practices at 39000 Bob Hope Dr Ofc Ste 201, Rancho Mirage, CA 92270. The listed phone number is (760) 773-4504.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.