Walter R O'Brien in Los Angeles - Sports Medicine

Walter R O'Brien - NPI 1346290814

Walter R O'Brien is a Sports Medicine in Los Angeles, California. Walter R O'Brien practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Walter R O'Brien is 1346290814. The last update date is 2023-03-07.

Walter R O'Brien's current location address is 11710 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3104777276 and fax number 3104775148. The mailing address for Walter R O'Brien is 11710 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter R O'Brien
Address 11710 Wilshire Blvd, Los Angeles, California
Phone Number 3104777276
Fax Number 3104775148
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1346290814
Provider Enumeration Date 2006-05-12
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 11710 Wilshire Blvd
City Los Angeles
State California (CA)
Post Code 900251503
Phone Number 3104777276
Fax Number 3104775148

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No G063193
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G631931 CA --

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FAQs about Walter R O'Brien

What is the Walter R O'Brien's unique identification number?

The Walter R O'Brien has been assigned the NPI (National Provider Identifier) Number 1346290814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Walter R O'Brien is physically located?

The Walter R O'Brien is physically situated at the following address: 11710 Wilshire Blvd, Los Angeles, CA, 900251503.

What is the area of specialization for Walter R O'Brien, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Walter R O'Brien is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.

On what date did the Walter R O'Brien receive its 1346290814 assignment from the Centers for Medicare & Medicaid Services?

The Walter R O'Brien was assigned its 1346290814 by the Centers for Medicare & Medicaid Services on 2006-05-12.

When was the information regarding Walter R O'Brien, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Walter R O'Brien, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.

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