WALTER VAN VORT

LOS ANGELES, CA
NPI1013026160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  g63602)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- WALTER VAN VORT
11301 WILSHIRE BLVD # B116AA
LOS ANGELES, CA 90073-1003
Phone number: 310-268-4449
Mailing Address
-- WALTER VAN VORT
11301 WILSHIRE BLVD # B116AA
LOS ANGELES, CA 90073-1003
Phone number:
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