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 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.
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 |
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