# KIMBERLY R WALTON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134380249
- **Authorized official:** KIMBERLY R WALTON (PRESIDENT)
- **Authorized official phone:** (310) 792-3914

## Contact information

- **Practice address:** 1294 W 6TH ST, 201-A, SAN PEDRO, CA 90731-2987
- **Practice address phone:** (310) 831-6515
- **Practice address fax:** (310) 831-6523
- **Mailing address:** 1294 W 6TH ST, 201-A, SAN PEDRO, CA 90731-2987
- **Mailing address phone:** (310) 831-6515
- **Mailing address fax:** (310) 831-6523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | A80933 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 06/20/2008