Individual
EMMA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BMBCH
Contact information
Practice address
300 UCLA MEDICAL PLZ, ROOM 1524 - DIVISION OF CHILD PSYCHIATRY, LOS ANGELES, CA 90095-6968
(310) 825-7773
Mailing address
300 UCLA MEDICAL PLZ, ROOM 1524 - DIVISION OF CHILD PSYCHIATRY, LOS ANGELES, CA 90095-6968
(310) 825-7733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A137109
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A137109
CA
Other
Enumeration date
03/28/2010
Last updated
12/12/2016
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