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Organization
RICHARD L. WALTER, M.D., A MEDICAL CORPORATION
Active
Organization
RICHARD L. WALTER, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAULA MARTINEZ (CREDENTIALING)
(818) 908-8048
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 318, TARZANA, CA 91356-3647
(818) 528-1270
(818) 528-1275
Mailing address
18375 VENTURA BLVD, SUITE 614, TARZANA, CA 91356-4218
(818) 908-8048
(818) 908-8072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G31570
CA
Other
Enumeration date
02/07/2007
Last updated
04/10/2008
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