NPI | 1851623029 |
---|---|
Doing Business As | WALTER OBRIEN MD INC A MEDICAL CORPORATION |
Entity Type | Organization |
Authorized Contact | WALTER RAY O'BRIEN Owner 310-477-7276 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G63193) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2023-03-07 |