Todd Steven Waller in Los Angeles - Otolaryngology
Todd Steven Waller - NPI 1306839568
Todd Steven Waller is a Otolaryngology in Los Angeles, California. Todd Steven Waller practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Todd Steven Waller is 1306839568. The last update date is 2011-12-21.
Todd Steven Waller's current location address is 1700 Westwood Blvd, Los Angeles, California. You can contact this provider via phone number 3104701752 and fax number 3102346604. The mailing address for Todd Steven Waller is 1700 Westwood Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Steven Waller |
|---|---|
| Address | 1700 Westwood Blvd, Los Angeles, California |
| Phone Number | 3104701752 |
| Fax Number | 3102346604 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306839568 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
| Address | 1700 Westwood Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900245608 |
| Phone Number | 3104701752 |
| Fax Number | 3102346604 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 35053497 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 736455 | OH | BUCKEYE COMMUNITY HEALTH | |
| R53497 | OH | SUMMACARE | |
| 123641 | OH | UNICARE | |
| 812893 | OH | -- | |
| 123641 | OH | ANTHEM BLUE SHIELD | |
| 2160298 | OH | CIGNA | |
| 353535 | OH | WELLCARE |
Post Comment/ Review Below
What is the unique identification code assigned to Todd Steven Waller by the Centers for Medicare & Medicaid Services?
The Todd Steven Waller has been issued the NPI (National Provider Identifier) 1306839568. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Todd Steven Waller is located?
The Todd Steven Waller is situated at the following address: 1700 Westwood Blvd, Los Angeles, CA, 900245608.
What is Todd Steven Waller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Todd Steven Waller's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306839568 to Todd Steven Waller?
The Centers for Medicare & Medicaid Services originally issued the 1306839568 to Todd Steven Waller on 2005-08-23.
When was the Todd Steven Waller's information last updated?
The Todd Steven Waller's information was last updated on 2011-12-21.