institution
Walter D Dishell Md A Medical Clinic
Facial Plastic Surgery Physician in Encino, California
NPI 1366762338

Walter D Dishell Md A Medical Clinic is a Facial Plastic Surgery Physician based in Encino, CA and is specialized in Facial Plastic Surgery. Walter D Dishell Md A Medical Clinic practices in Encino, CA. The NPI Number for Walter D Dishell Md A Medical Clinic is 1366762338 and holds a License No. C274780 (California).

The current practice location address for Walter D Dishell Md A Medical Clinic is 16311 Ventura Blvd, Encino, CA and can be reached out via phone at 818-986-7900 and via fax at 818-986-7952.

Location: 16311 Ventura Blvd, Encino, CA, 91436-2124
institution
Provider Profile Details
NPI Number
1366762338
Provider Name
Walter D Dishell Md A Medical Clinic
Credential
Provider Entity Type
Organization
Address
16311 Ventura Blvd, Encino, CA, 91436-2124
Phone Number
818-986-7900
Fax Number
818-986-7952
Provider Enumeration Date
06/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760568901 01 CA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
16311 Ventura Blvd
City
State
Zip
91436-2124
Phone Number
818-986-7900
Fax Number
818-986-7952
person
Provider Business Mailing Address Details
Address
16311 Ventura Blvd
City
State
Zip
91436-2124
Phone Number
818-986-7900
Fax Number
818-986-7952
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
C274780 (California)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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