Individual
ANNE WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #420, LOS ANGELES, CA 90095
(310) 206-6232
(310) 206-3551
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 206-6232
(310) 206-3551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A91084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A910840
—
CA
Enumeration date
09/29/2006
Last updated
03/10/2010
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