Individual
DR. KENNETH BRIAN WALTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 PIER AVE # 160, SANTA MONICA, CA 90405-5311
(424) 228-2421
Mailing address
171 PIER AVE # 160, SANTA MONICA, CA 90405-5311
(424) 228-2421
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A45950
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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