Dr OLUKEMI A WALLACE MD is a female medical professional, specializing in Hematology/oncology. She graduated in 1985.
2220 W MANCHESTER BLVD
INGLEWOOD
CA
903052514
Tel:
Npi | 1609804350 |
Pac Id | 7012803562 |
Professional Enrollment Id | I20040521001295 |
Last Name | WALLACE |
First Name | OLUKEMI |
Middle Name | A |
Suffix | |
Gender | F |
Credential | MD |
Medical School Name | OTHER |
Graduation Year | 1985 |
Primary Specialty | HEMATOLOGY/ONCOLOGY |
Secondary Specialty 1 | INTERNAL MEDICINE |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | INTERNAL MEDICINE |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 2220 W MANCHESTER BLVD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | INGLEWOOD |
State | CA |
Zip Code | 903052514 |
Phone Number | |
Hospital Affiliation Ccn 1 | 050468 |
Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL OF GARDENA |
Hospital Affiliation Ccn 2 | 050231 |
Hospital Affiliation Lbn 2 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
Hospital Affiliation Ccn 3 | 050353 |
Hospital Affiliation Lbn 3 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
Hospital Affiliation Ccn 4 | 050351 |
Hospital Affiliation Lbn 4 | TORRANCE MEMORIAL MEDICAL CENTER |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | M |
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