| Richard L. Walter, M.d., A Medical Corporation | |
|
5525 Etiwanda Ave Suite 318 Tarzana CA 91356-3647 | |
| (818) 528-1270 | |
| (818) 528-1275 |
| Full Name | Richard L. Walter, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5525 Etiwanda Ave, Tarzana, California |
| Authorized Official Name and Position | Paula Martinez (CREDENTIALING) |
| Authorized Official Contact | 8189088048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L. Walter, M.d., A Medical Corporation 18375 Ventura Blvd Suite 614 Tarzana CA 91356-4218 Ph: (818) 908-8048 | Richard L. Walter, M.d., A Medical Corporation 5525 Etiwanda Ave Suite 318 Tarzana CA 91356-3647 Ph: (818) 528-1270 |
| NPI Number | 1629118906 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 04/10/2008 |
| Medicare PECOS PAC ID | 3274622857 |
|---|---|
| Medicare Enrollment ID | O20071204000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629118906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G31570 (California) | Primary |
| Provider Name | Richard L Walter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699731489 PECOS PAC ID: 5890703771 Enrollment ID: I20060404000503 |
Tarzana Valley Vita Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18607 Ventura Blvd.,, Suite 206, Tarzana, CA 91356 Phone: 818-758-8282 Fax: 818-758-8286 | |
Neil D. Fagen,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, 204, Tarzana, CA 91356 Phone: 818-996-4796 Fax: 818-996-4793 | |
Terry E Stanger Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St Ste 202, Tarzana, CA 91356 Phone: 818-881-3435 Fax: 818-881-9021 | |
Tarzana Pediatric Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite #204, Tarzana, CA 91356 Phone: 818-345-7792 Fax: 818-345-9052 | |
Joel A. Sach, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356 Phone: 818-708-6070 Fax: 818-708-6095 | |
Comprehensive Infectious Disease Consultants A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Ste 414, Tarzana, CA 91356 Phone: 818-506-3384 Fax: 818-699-1278 | |
Tarzana Treatment Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3815 |