IndividualActive
Benjamin Walline, DDS, MD
NPI 1073707212 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Los Angeles, CA
Provider details
- NPI number
- 1073707212
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- No
- License
- A98343 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense A98343 (CA)
Allopathic & Osteopathic Physicians
Practice location
2080 Century Park E
#610
Los Angeles, CA 90067-2001
Phone: (310) 842-4811
Fax: (310) 286-2177
Approximate (ZIP-level) locationGet directions
Mailing address
2080 Century Park E
Los Angeles, CA 90067-2001
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.