O'Brien, Walter R
O'Brien, Walter R is an individual health care provider with primary practice located at 11600 Wilshire Blvd Suite 522, Los Angeles CA 90025-5781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. O'Brien, Walter R can be contacted via phone (310) 477-7276.Contact Information
Primary practice address
11600 Wilshire Blvd Suite 522
Los Angeles CA 90025-5781
Phone: (310) 477-7276
Fax: (310) 477-5148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | G063193 | California |
Profile Details
| NPI number | 1346290814 |
|---|---|
| LBN Legal business name | O'Brien, Walter R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346290814 | NPPES |
| California | MEDICAID | 00G631931 |
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