Walter Obrien Md Inc A Medical Corporation

LBN: Walter R Obrien Md Inc A Medical Corporation
Walter Obrien Md Inc A Medical Corporation is an health care organization with primary practice located at 11710 Wilshire Blvd , Los Angeles CA 90025-1503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Walter R Obrien Md Inc A Medical Corporation can be contacted via phone (310) 477-7276, or through O'Brien, Walter Ray via phone (310) 477-7276.

Contact Information

Primary practice address
11710 Wilshire Blvd Los Angeles CA 90025-1503
Fax: (310) 477-5148
Website:
Authorized official contact:
Name: O'Brien, Walter Ray Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G63193 California

Profile Details

NPI number 1851623029
LBN Legal business name Walter R Obrien Md Inc A Medical Corporation
DBA Doing business as Walter Obrien Md Inc A Medical Corporation
Authorized official O'Brien, Walter Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2010
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851623029 NPPES
California MEDICAID 00G631931

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