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Organization
WALTER C. SHEETS, M.D., INC.
Active
Organization
WALTER C. SHEETS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER C. SHEETS M.D. (OWNER)
(310) 471-5852
Entity
Organization
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(310) 471-5852
(310) 471-3958
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G35415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G354152
—
CA
Enumeration date
07/17/2006
Last updated
03/15/2008
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