Healthcare Provider Details

I. General information

NPI: 1265352157
Provider Name (Legal Business Name): FRANCISKUS JOHANNES WALTHER M.D, PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 W. CARSON STREET
TORRANCE CA
90502-2006
US

IV. Provider business mailing address

1124 W. CARSON STREET
TORRANCE CA
90502-2006
US

V. Phone/Fax

Practice location:
  • Phone: 310-976-9592
  • Fax: 310-222-1292
Mailing address:
  • Phone: 310-976-9592
  • Fax: 310-222-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA44709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: