Organization
ELEANOR A WALLEN DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR ANDREA WALLEN DPM (OWNER AUTHORIZED OFFICIAL)
(818) 980-3383
Entity
Organization
Contact information
Practice address
4418 VINELAND AVENUE, SUITE 215, TOLUCA LAKE, CA 91602-2159
(818) 980-3383
(818) 980-5383
Mailing address
4418 VINELAND AVENUE, SUITE 215, TOLUCA LAKE, CA 91602-2159
(818) 980-3383
(818) 980-5383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3573
CA
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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