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General NPI Number Information
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NPI Number | 1669716593
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Entity Type | Individual
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Provider Name | PARAMPREET SINGH WALIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 2151 N HARBOR BLVD STE 3100
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City | FULLERTON
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State | CA
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Zip | 92835-3825
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Country | US
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Telephone | 714-446-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 1038 E BASTANCHURY RD # 607
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City | FULLERTON
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State | CA
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Zip | 92835-2786
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 1718
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 57.021513
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 132246
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License Number State | CA
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