National Provider Identifier Database

BENJAMIN W WALLINE, DDS, MD – NPI #1073707212
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

BENJAMIN W WALLINE, DDS, MD
2080 CENTURY PARK E
#610
LOS ANGELES, CA90067-2001
Phone: 310-842-4811
Fax: 310-286-2177
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for BENJAMIN W WALLINE

NPI Number 1073707212
Credentials DDS, MD
Entity Individual
Enumeration date 08/30/2007
Last updated 10/16/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A98343
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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