Organization
WALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION
Active
Parent organization
WALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION
Authorized official
LINDSAY MARTINEZ (OFFICE MANAGER)
(714) 502-1144
Entity
Organization
Contact information
Practice address
1110 W LA PALMA AVE STE 6, ANAHEIM, CA 92801-2823
(714) 502-1144
(714) 502-1146
Mailing address
1110 W LA PALMA AVE, SUITE 6, ANAHEIM, CA 92801-2821
(714) 956-5656
(714) 502-1146
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
00A325660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A325660
MEDI-CAL
CA
Enumeration date
04/30/2008
Last updated
03/26/2020
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