De Walt, Carol Nicole

De Walt, Carol Nicole is an individual health care provider with primary practice located at 3330 Lomita Blvd , Torrance CA 90505-5002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. De Walt, Carol Nicole can be contacted via phone (310) 270-7477.

Contact Information

Primary practice address
3330 Lomita Blvd Torrance CA 90505-5002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A95208 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A95208 California

Profile Details

NPI number 1588805121
LBN Legal business name De Walt, Carol Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Jan 23rd, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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