Healthcare Provider Details

I. General information

NPI: 1184949661
Provider Name (Legal Business Name): JUDIANNE MARGURIETTE WALKER D.P.M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 08/28/2021
Certification Date: 08/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 EL CAPITAN STE 410
DANVILLE CA
94526
US

IV. Provider business mailing address

20130 LAKE CHABOT RD STE 202
CASTRO VALLEY CA
94546-5340
US

V. Phone/Fax

Practice location:
  • Phone: 925-830-2929
  • Fax: 925-830-4770
Mailing address:
  • Phone: 510-581-1484
  • Fax: 510-581-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5001
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: