Roberts, Walter C
Roberts, Walter C is an sole proprietor health care provider with primary practice located at 1510 S Central Ave Ste 100 , Glendale CA 91204-2582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roberts, Walter C can be contacted via phone (213) 483-2416.Contact Information
Primary practice address
1510 S Central Ave Ste 100
Glendale CA 91204-2582
Phone: (213) 483-2416
Fax: (213) 483-8211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G27442 | California |
Profile Details
| NPI number | 1811985120 |
|---|---|
| LBN Legal business name | Roberts, Walter C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jun 12th, 2020 - about 4 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 | 1811985120 | NPPES |
| California | MEDICAID | 00G274420 |
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