Organization
WALDEN SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON BLUM (PRESIDENT)
(323) 654-2299
Entity
Organization
Contact information
Practice address
935 N FAIRFAX AVE, WEST HOLLYWOOD, CA 90046-7203
(323) 654-2299
(323) 654-2299
Mailing address
935 N FAIRFAX AVE, WEST HOLLYWOOD, CA 90046-7203
(323) 654-2299
(323) 654-2299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02041F
—
CA
Enumeration date
12/05/2006
Last updated
07/21/2022
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