Walt Jay Medical Corporation

NPI #1124164579 in Los Angeles, California

Provider Information

NPI Number
1124164579
Entity Type
Organization
Organization Name
Walt Jay Medical Corporation
Primary Specialty
General Practice
Enumeration Date
Jan 30, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1930 WILSHIRE BLVD
Address 2
SUITE 600
ZIP Code
90057-3605
Phone
(213) 483-9902

Authorized Official

Name
MRS. SHERINE GANEGODA
Title
OFFICE MANAGER'S ASSISTANT
Phone
(213) 483-9902

Specialties & Taxonomy Codes

Specialty
General Practice

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