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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 Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BENJAMIN W WALLINE · (Male)

NPI Number 1073707212
Status Active
Credentials DDS, MD
Entity Individual
Enumeration date 08/30/2007
Last updated 10/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A98343
Hospital affiliation(s) Not Available
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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