| Joe Walters Md Inc. A Medical Corporation | |
|
12961 Village Drive Suite 1 Saratoga CA 95070-4158 | |
| (408) 253-4806 | |
| (408) 257-9701 |
| Full Name | Joe Walters Md Inc. A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 12961 Village Drive, Saratoga, California |
| Authorized Official Name and Position | Joseph John Walters (PRESIDENT) |
| Authorized Official Contact | 4082534806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe Walters Md Inc. A Medical Corporation 12961 Village Drive Suite A Saratoga CA 95070-4158 Ph: (408) 253-4806 | Joe Walters Md Inc. A Medical Corporation 12961 Village Drive Suite 1 Saratoga CA 95070-4158 Ph: (408) 253-4806 |
| NPI Number | 1336367234 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 04/04/2013 |
| Medicare PECOS PAC ID | 6002984465 |
|---|---|
| Medicare Enrollment ID | O20081013000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336367234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G84144 (California) | Primary |
| Provider Name | Joseph John Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144326752 PECOS PAC ID: 9739172008 Enrollment ID: I20040405000686 |
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