Wali, Jyotika L

Wali, Jyotika L is an individual health care provider with primary practice located at 1001 E Chapman Ave Suite D, Fullerton CA 92831-3811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wali, Jyotika L can be contacted via phone (714) 451-0000.

Contact Information

Primary practice address
1001 E Chapman Ave Suite D Fullerton CA 92831-3811
Phone: (714) 451-0000
Fax: (714) 451-0500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45629 California

Profile Details

NPI number 1134195118
LBN Legal business name Wali, Jyotika L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 26th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134195118 NPPES
California MEDICAID 00A456290
California Other EQ451Z

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