Maynard, Walter Preston
Maynard, Walter Preston is an sole proprietor health care provider with primary practice located at 125 N Prairie Ave , Inglewood CA 90301-1904. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Maynard, Walter Preston can be contacted via phone (310) 671-9754.Contact Information
Primary practice address
125 N Prairie Ave
Inglewood CA 90301-1904
Phone: (310) 671-9754
Fax: (310) 671-3916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | C33935 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | C33935 | California |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | C33935 | California |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | C33935 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C33935 | California |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | C33935 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | C33935 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | C33935 | California |
Profile Details
| NPI number | 1003838301 |
|---|---|
| LBN Legal business name | Maynard, Walter Preston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003838301 | NPPES |
| California | Other | 00C339353 | NHIC-MEDICARE-CMS |
| California | Other | C33935 | NHIC-MEDICARE-CMS |
| California | MEDICAID | 00C339350 | NHIC-MEDICARE-CMS |
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