MEDICARE: MRS. BRANDIE RULFS WALTON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA13255	CA

General Provider Information

NPI Number	:	1396921573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRANDIE RULFS WALTON PA-C

Provider Business Mailing Address
First Line	:	9900 TALBERT AVE STE 301&302
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-5153
Country	:	US
Telephone Number	:	714-965-2500
Fax Number	:	714-965-2593

Provider Business Practice Location Address
First Line	:	9900 TALBERT AVE STE 301&302
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-5153
Country	:	US
Telephone Number	:	714-965-2500
Fax Number	:	714-965-2593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	01/21/2026

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