Individual
WALTER DEL PINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2813 N BROADWAY, LOS ANGELES, CA 90031-2611
(323) 342-9764
Mailing address
2813 N BROADWAY, LOS ANGELES, CA 90031-2611
(323) 342-9764
(181) 752-0189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 17791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 17791
PA LIS
CA
Enumeration date
08/30/2006
Last updated
01/22/2020
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