Organization
WALTER E YURY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E. YURY M.D. (PHYSICIAN)
(714) 879-6009
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 409, ANAHEIM, CA 92801-2815
(714) 879-6009
(714) 879-6008
Mailing address
1211 W LA PALMA AVE, SUITE 409, ANAHEIM, CA 92801-2815
(714) 879-6009
(714) 879-6008
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
207Q00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WC20769B
MEDICARE
CA
Enumeration date
04/02/2008
Last updated
04/10/2012
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