Dr Carol Nicole De Walt, MD | |
3330 Lomita Blvd, Torrance, CA 90505-5002 | |
(310) 270-7477 | |
Not Available |
Full Name | Dr Carol Nicole De Walt |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 3330 Lomita Blvd, Torrance, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588805121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | A95208 (California) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | A95208 (California) | Primary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | Cedars-sinai Medical Care Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
Entity Name | Cedars-sinai Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886 |
Mailing Address | Practice Location Address |
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Dr Carol Nicole De Walt, MD 2390 Crenshaw Blvd Unit 708, Torrance, CA 90501-3300 Ph: (310) 270-7747 | Dr Carol Nicole De Walt, MD 3330 Lomita Blvd, Torrance, CA 90505-5002 Ph: (310) 270-7477 |
Dr. Evangeline Gidaya Roxas-butlig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1727 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-373-7855 Fax: 424-704-2493 | |
Dr. Raquel Bethania Fernandez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Lomita Blvd Ste 301, Torrance, CA 90505 Phone: 310-517-1188 Fax: 310-943-6522 | |
Dr. Ryan Henry Peretz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3757 | |
Mrs. April Lynn Cherness, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3440 W. Lomita Blvd., #352, Torrance, CA 90505 Phone: 310-626-6429 Fax: 310-539-0061 | |
Dr. Clare Marie Kasper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-2345 | |
Shaheen Justin Harandi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 559-906-3761 | |
Dr. Patricia Ann Rowe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23600 Telo Ave Ste 130, Torrance, CA 90505 Phone: 310-539-0400 Fax: 310-534-7568 |