Individual
DR. ALEXANDER CRAIG WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S FAIR OAKS AVE STE 407, PASADENA, CA 91105-2562
(262) 041-4106
(213) 975-9118
Mailing address
1245 WILSHIRE BLVD STE 380, LOS ANGELES, CA 90017-4886
(213) 483-8810
(213) 975-9118
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A079504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A795040
BLUE SHIELD
CA
05
—
00A795040
—
CA
01
—
W3452
MEDICARE
CA
Enumeration date
09/27/2006
Last updated
11/11/2020
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