| Walt Jay Medical Corporation | |
|
1701 W Whittier Blvd Montebello CA 90640-4004 | |
| (213) 483-9902 | |
| (213) 483-5174 |
| Full Name | Walt Jay Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Sherine Ganegoda (OFFICE MANAGER'S ASSISTANT) |
| Authorized Official Contact | 2134839902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walt Jay Medical Corporation 1701 W Whittier Blvd Montebello CA 90640-4004 Ph: (213) 483-9902 | Walt Jay Medical Corporation 1701 W Whittier Blvd Montebello CA 90640-4004 Ph: (213) 483-9902 |
| NPI Number | 1700928074 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700928074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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