Waller, Todd Steven
Waller, Todd Steven is an sole proprietor health care provider with primary practice located at 1700 Westwood Blvd , Los Angeles CA 90024-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Waller, Todd Steven can be contacted via phone (310) 470-1752.Contact Information
Primary practice address
1700 Westwood Blvd
Los Angeles CA 90024-5608
Phone: (310) 470-1752
Fax: (310) 234-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 35053497 | Ohio |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G39474 | California |
Profile Details
| NPI number | 1306839568 |
|---|---|
| LBN Legal business name | Waller, Todd Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Dec 21st, 2011 - about 13 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 | 1306839568 | NPPES |
| Ohio | Other | 736455 | BUCKEYE COMMUNITY HEALTH |
| Ohio | Other | R53497 | BUCKEYE COMMUNITY HEALTH |
| Ohio | Other | 000000123641 | BUCKEYE COMMUNITY HEALTH |
| Ohio | MEDICAID | 0812893 | BUCKEYE COMMUNITY HEALTH |
| Ohio | Other | 000000123641 | BUCKEYE COMMUNITY HEALTH |
| Ohio | Other | 2160298 | BUCKEYE COMMUNITY HEALTH |
| Ohio | Other | 353535 | BUCKEYE COMMUNITY HEALTH |
Popular Providers
-
Clark, Richard Wayne
1245 Wilshire Blvd , Los Angeles CA 90017-4810 -
Grossan, Murray
8631 W 3Rd St Suite 440E, Los Angeles CA 90048-5901 -
Hopp, Martin L
8631 W 3Rd St Suite 440E, Los Angeles CA 90048-5901 -
Yang, Grace Shih-Yi
1245 Wilshire Blvd Ste 603, Los Angeles CA 90017-4810 -
Ba, Alyssa M.
11645 Wilshire Blvd Suite 600, Los Angeles CA 90025-1708 -
Kornsand, David Samuel
1200 N State St Box 795, Los Angeles CA 90033-1029 -
Mintz, Leah E
1245 Wilshire Blvd , Los Angeles CA 90017-4810 -
Mcalpin, Christina Marie
1127 Wilshire Blvd Ste 809, Los Angeles CA 90017-3909