Provider Demographics
NPI:1265807838
Name:WALKER, BARBARA
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2483 EL SOL AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5241
Mailing Address - Country:US
Mailing Address - Phone:626-676-4232
Mailing Address - Fax:
Practice Address - Street 1:5757 W CENTURY BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-6401
Practice Address - Country:US
Practice Address - Phone:626-676-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver