person
Eleanor Andrea Wallen, DPM
Foot & Ankle Surgery Podiatrist in Toluca Lake, California
NPI 1457394694

Eleanor Andrea Wallen is a Foot & Ankle Surgery Podiatrist based in Toluca Lake, CA and is specialized in Foot & Ankle Surgery. Eleanor Andrea Wallen practices in Toluca Lake, CA and has the professional credentials of DPM. The NPI Number for Eleanor Andrea Wallen is 1457394694 and holds a License No. E3573 (California).

The current practice location address for Eleanor Andrea Wallen is 4418 Vineland Ave, Toluca Lake, CA and can be reached out via phone at 818-980-3383 and via fax at 818-980-5383.

Location: 4418 Vineland Ave, Toluca Lake, CA, 91602-2159
person
Provider Profile Details
NPI Number
1457394694
Provider Name
Eleanor Andrea Wallen
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
4418 Vineland Ave, Toluca Lake, CA, 91602-2159
Phone Number
818-980-3383
Fax Number
818-980-5383
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W21231 01 CA MEDICARE PTAN GROUP
institution
Provider Business Practice Location Address Details
Address
4418 Vineland Ave
City
State
Zip
91602-3457
Phone Number
818-980-3383
Fax Number
818-980-5383
person
Provider Business Mailing Address Details
Address
4418 Vineland Ave
City
State
Zip
91602-3457
Phone Number
818-980-3383
Fax Number
818-980-5383
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E3573 (California)
Definition
Definition to come...
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