# WALTER JOLLEY DPM A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1548441389
- **Authorized official:** DR. WALTER HAROLD JOLLEY DPM (PROVIDER/OWNER)
- **Authorized official phone:** (858) 560-0390

## Contact information

- **Practice address:** 5222 BALBOA AVE, SUITE 52, SAN DIEGO, CA 92117-6904
- **Practice address phone:** (858) 560-0390
- **Practice address fax:** (858) 560-0333
- **Mailing address:** 5222 BALBOA AVE, SUITE 52, SAN DIEGO, CA 92117-6904
- **Mailing address phone:** (858) 560-0390
- **Mailing address fax:** (858) 560-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1540 | CA | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 11/20/2007