Eric W Wallace
- Male
Medical Specialty
Professional ID
- NPI: 1578502191
- PECOS ID: 3577506690
- Enrollment ID: I20050608001128
- Credential(MD, DO, DPM): MD
- Medical School: Loma Linda University School Of Medicine
- Medical School Graduation Year: 1999
Hospital Service
- Hospital CCN1: 050159
- Business Name (LBN)1: Ventura County Medical Center
- Hospital CCN2: 050102
- Business Name (LBN)2: Parkview Community Hospital Medical Center
- Hospital CCN3: 050755
- Business Name (LBN)3: Sherman Oaks Hospital
- Hospital CCN4: 050298
- Business Name (LBN)4: Barstow Community Hospital
- Hospital CCN5: 050471
- Business Name (LBN)5: Good Samaritan Hospital
Medical Practices
- Organization Name: Renaissance Imaging Medical Associates Inc
- Group Practice ID assigned by PECOS: 7315841756
- Number of Group Practice member: 93
Location
- Address1: 16143 Regency Ranch Rd
- Address2:
- City: Riverside
- State: California
- Zip Code: 92504
- Phone Number: (616)916-7968
Location
- Address1: 16237 Ventura Blvd
- Address2:
- City: Encino
- State: California
- Zip Code: 91436
- Phone Number: (818)995-5245
Location
- Address1: 16850 Bear Valley Rd
- Address2:
- City: Victorville
- State: California
- Zip Code: 92395
- Phone Number: (760)241-8000
Location
- Address1: 18300 Roscoe Blvd
- Address2:
- City: Northridge
- State: California
- Zip Code: 91325
- Phone Number: (818)885-8500
Location
- Address1: 18436 Roscoe Blvd
- Address2:
- City: Northridge
- State: California
- Zip Code: 91325
- Phone Number: (818)885-3598
Location
- Address1: 2400 E 4 St
- Address2:
- City: National City
- State: California
- Zip Code: 91950
- Phone Number: (619)470-4321
Location
- Address1: 3291 Loma Vista Rd
- Address2:
- City: Ventura
- State: California
- Zip Code: 93003
- Phone Number: (805)652-6075
Location
- Address1: 3865 Jackson St
- Address2:
- City: Riverside
- State: California
- Zip Code: 92503
- Phone Number: (951)688-2211
Location
- Address1: 44105 15th W St
- Address2: Suite 100
- City: Lancaster
- State: California
- Zip Code: 93534
- Phone Number: (661)726-6226
Location
- Address1: 501 S Buena Vista St
- Address2:
- City: Burbank
- State: California
- Zip Code: 91505
- Phone Number: (818)843-5111
Location
- Address1: 7889 Wheeler Canyon Rd
- Address2:
- City: Santa Paula
- State: California
- Zip Code: 93060
- Phone Number: (805)651-8465
Location
- Address1: 820 E Mountain View St
- Address2:
- City: Barstow
- State: California
- Zip Code: 92311
- Phone Number: (760)256-1761
Location
- Address1: 825 N 10th St
- Address2:
- City: Santa Paula
- State: California
- Zip Code: 93060
- Phone Number: (805)933-8674
Medical Practices
- Organization Name: Northern Inyo Healthcare District
- Group Practice ID assigned by PECOS: 8921992090
- Number of Group Practice member: 45
Location
- Address1: 150 Pioneer Ln
- Address2:
- City: Bishop
- State: California
- Zip Code: 93514
- Phone Number: (760)873-5811
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):