Walt Jay Medical Corporation in Diamond Bar - General Practice
Walt Jay Medical Corporation - NPI 1124164579
Walt Jay Medical Corporation is a General Practice in Diamond Bar, California. Walt Jay Medical Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Walt Jay Medical Corporation is 1124164579. The last update date is 2020-08-22.
Walt Jay Medical Corporation's current location address is 1010 Summitridge Dr, Diamond Bar, California. You can contact this provider via phone number 9098609528. The mailing address for Walt Jay Medical Corporation is 1010 Summitridge Dr, Diamond Bar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walt Jay Medical Corporation |
|---|---|
| Address | 1010 Summitridge Dr, Diamond Bar, California |
| Phone Number | 9098609528 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Ganegoda Sherine |
| Telephone Number | 2134839902 |
NPI Number Detail
| NPI Number | 1124164579 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1010 Summitridge Dr |
|---|---|
| City | Diamond Bar |
| State | California (CA) |
| Post Code | 917654364 |
| Phone Number | 9098609528 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A366519 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique provider identifier assigned to Walt Jay Medical Corporation?
The Walt Jay Medical Corporation has been issued the NPI (National Provider Identifier) 1124164579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Walt Jay Medical Corporation?
The Walt Jay Medical Corporation is physically situated at 1010 Summitridge Dr, in the city of Diamond Bar, state of CA, with the postal code 917654364.
What is the area of specialization for Walt Jay Medical Corporation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Walt Jay Medical Corporation is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124164579 to Walt Jay Medical Corporation?
The Walt Jay Medical Corporation received its 1124164579 assignment from the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information related to Walt Jay Medical Corporation most recently updated or refreshed?
The details pertaining to the Walt Jay Medical Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA