Todd Steven Waller, MD - Otolaryngology in Los Angeles, CA

Todd Steven Waller, MD is a Otolaryngology physician based in Los Angeles, California. Todd Steven Waller is licensed to practice in California (license number G39474) and his current practice location is 1700 Westwood Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (310) 470-1752.

NPI number for Todd Steven Waller is 1306839568 and his current mailing address is 1700 Westwood Blvd, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306839568.

Contact Information

Todd Steven Waller, MD
1700 Westwood Blvd,
Los Angeles, CA 90024-5608
(310) 470-1752
(310) 234-6604

Map and Direction




Physician's Profile

Full NameTodd Steven Waller
GenderMale
SpecialityOtolaryngology
Location1700 Westwood Blvd, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306839568
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 12/21/2011

Medical Identifiers

Medical identifiers for Todd Steven Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306839568NPI-NPPES
736455OtherOHBUCKEYE COMMUNITY HEALTH
R53497OtherOHSUMMACARE
000000123641OtherOHUNICARE
0812893MedicaidOH
000000123641OtherOHANTHEM BLUE SHIELD
2160298OtherOHCIGNA
353535OtherOHWELLCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 35053497 (Ohio)Secondary
207Y00000XOtolaryngology G39474 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Todd Steven Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Todd Steven Waller, MD
1700 Westwood Blvd,
Los Angeles, CA 90024-5608

Ph: (310) 470-1752
Todd Steven Waller, MD
1700 Westwood Blvd,
Los Angeles, CA 90024-5608

Ph: (310) 470-1752

Reviews and Comments


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