Individual
IRWIN WALOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST, BOX 480, TORRANCE, CA 90502-2004
(310) 222-2808
Mailing address
1000 W CARSON ST, BOX 480, TORRANCE, CA 90502-2004
(310) 222-2808
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G57034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G570340
—
CA
Enumeration date
02/20/2007
Last updated
07/09/2007
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