Eleanor Andrea Wallen in Toluca Lake - Foot & Ankle Surgery
Eleanor Andrea Wallen - NPI 1457394694
Eleanor Andrea Wallen is a Foot & Ankle Surgery in Toluca Lake, California. Eleanor Andrea Wallen practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Eleanor Andrea Wallen is 1457394694. The last update date is 2009-09-28.
Eleanor Andrea Wallen's current location address is 4418 Vineland Ave, Toluca Lake, California. You can contact this provider via phone number 8189803383 and fax number 8189805383. The mailing address for Eleanor Andrea Wallen is 4418 Vineland Ave, Toluca Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eleanor Andrea Wallen |
|---|---|
| Address | 4418 Vineland Ave, Toluca Lake, California |
| Phone Number | 8189803383 |
| Fax Number | 8189805383 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1457394694 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2009-09-28 |
Provider Mailing Address Detail
| Address | 4418 Vineland Ave |
|---|---|
| City | Toluca Lake |
| State | California (CA) |
| Post Code | 916022159 |
| Phone Number | 8189803383 |
| Fax Number | 8189805383 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E3573 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W21231 | CA | MEDICARE PTAN GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Eleanor Andrea Wallen by the Centers for Medicare & Medicaid Services?
The Eleanor Andrea Wallen has been assigned the NPI (National Provider Identifier) 1457394694. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eleanor Andrea Wallen's physical address?
The Eleanor Andrea Wallen is physically located at 4418 Vineland Ave, in the city of Toluca Lake, CA, with the postal code 916022159.
What is Eleanor Andrea Wallen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eleanor Andrea Wallen is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
When did Eleanor Andrea Wallen receive its 1457394694 assignment?
The Eleanor Andrea Wallen was assigned its 1457394694 on 2006-06-14, which is the date when this unique identifier was issued to the organization.
When was the information related to Eleanor Andrea Wallen most recently updated or refreshed?
The details pertaining to the Eleanor Andrea Wallen, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-28.