RICHARD L. WALTER, M.D., A MEDICAL CORPORATION
Osteopathic Medicine at Etiwanda Ave, Los Angeles, CA

License number
California G31570
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MISS PAULA MARTINEZ
Title: CREDENTIALING
Phone: (818) 908-8048
Address
Address
5525 Etiwanda Ave SUITE 318, Los Angeles, CA 91356
National Provider ID: 1629118906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICHARD L. WALTER, M.D., A MEDICAL CORPORATION

5525 Etiwanda STE 318, Tarzana, CA 91356

Registration:
Apr 27, 1981
State ID:
C1042195
Business type:
Articles of Incorporation
President:
Richard Louis Walter (President)
Agent:
Jordon Metz,Encino, CA 91436 (Physical)

Richard L. Walter, M.D., A Medical Corporation

18375 Ventura Blvd, Los Angeles, CA 91356

Status:
Inactive
Industry:
Health/Allied Services
Principal:
Paula Martinez Principal, inactive

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