Martin Joseph Waltsak in Garden Grove - Physician Assistant
Martin Joseph Waltsak - NPI 1669409652
Martin Joseph Waltsak is a Physician Assistant in Garden Grove, California. Martin Joseph Waltsak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Martin Joseph Waltsak is 1669409652. The last update date is 2023-03-22.
Martin Joseph Waltsak's current location address is 12942 Harbor Blvd, Garden Grove, California. You can contact this provider via phone number 7147052120. The mailing address for Martin Joseph Waltsak is 12942 Harbor Blvd, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Joseph Waltsak |
|---|---|
| Address | 12942 Harbor Blvd, Garden Grove, California |
| Phone Number | 7147052120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1669409652 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2023-03-22 |
Provider Mailing Address Detail
| Address | 12942 Harbor Blvd |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928405809 |
| Phone Number | 7147052120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14773 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01272666/DU403 | CA | RAILROAD MEDICARE | |
| PA14773 - WILMI | CA | -- | |
| PA14773 | CA | MEDI CAL | |
| PA14773 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Martin Joseph Waltsak by the Centers for Medicare & Medicaid Services?
The Martin Joseph Waltsak has been assigned the NPI (National Provider Identifier) 1669409652 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Martin Joseph Waltsak is geographically located?
The Martin Joseph Waltsak is physically situated at the following location: 12942 Harbor Blvd, Garden Grove, CA, 928405809.
What is the Martin Joseph Waltsak's specialty and taxonomy code?
The Martin Joseph Waltsak's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Martin Joseph Waltsak receive its 1669409652 assignment from the Centers for Medicare & Medicaid Services?
The Martin Joseph Waltsak was assigned its 1669409652 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Martin Joseph Waltsak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Martin Joseph Waltsak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-22.