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Todd Steven Waller, MD
Otolaryngology Physician in Los Angeles, California
NPI 1306839568

Todd Steven Waller is a Otolaryngology Physician based in Los Angeles, CA. Todd Steven Waller practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Todd Steven Waller is 1306839568 and holds a License No. 35053497 (California).

The current practice location address for Todd Steven Waller is 1700 Westwood Blvd, Los Angeles, CA and can be reached out via phone at 310-470-1752 and via fax at 310-234-6604.

Location: 1700 Westwood Blvd, Los Angeles, CA, 90024-5608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306839568
Provider Name
Todd Steven Waller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1700 Westwood Blvd, Los Angeles, CA, 90024-5608
Phone Number
310-470-1752
Fax Number
310-234-6604
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
736455 01 OH BUCKEYE COMMUNITY HEALTH
R53497 01 OH SUMMACARE
000000123641 01 OH UNICARE
0812893 05 OH
000000123641 01 OH ANTHEM BLUE SHIELD
2160298 01 OH CIGNA
353535 01 OH WELLCARE
institution
Provider Business Practice Location Address Details
Address
1700 Westwood Blvd
City
Los Angeles
State
California
Zip
90024-5608
Phone Number
310-470-1752
Fax Number
310-234-6604
person
Provider Business Mailing Address Details
Address
1700 Westwood Blvd
City
Los Angeles
State
California
Zip
90024-5608
Phone Number
310-470-1752
Fax Number
310-234-6604
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
35053497 (Ohio)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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