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Organization
S D WALKER MEDICAL INC.
Active
Organization
S D WALKER MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE J. WALKER M.D. (OWNER/PRESIDENT)
(310) 659-1959
Entity
Organization
Contact information
Practice address
8535 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4100
(310) 659-1959
(310) 659-4769
Mailing address
8581 SANTA MONICA BLVD, #229, WEST HOLLYWOOD, CA 90069-4120
(310) 659-1959
(310) 659-4769
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A62652
CA
225400000X
Rehabilitation Practitioner
A62652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62652
STATE LICENSE
CA
Enumeration date
07/03/2008
Last updated
03/07/2023
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