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NPI Code Detail

MEDICARE: MR. ERIC PHILLIP WALKER

MEDICARE: MR. ERIC PHILLIP WALKER
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
1106H00000XMarriage & Family TherapistLMFT130352CA

General Provider Information

NPI Number : 1144704495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC PHILLIP WALKER
Provider Business Mailing Address
First Line : 13924 PANAY WAY
Second Line : 403
City : MARINA DEL REY
State : CA
Zip : 90292-6193
Country : US
Telephone Number : 310-498-0104
Fax Number :
Provider Business Practice Location Address
First Line : 3685 MOTOR AVE STE 220
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-5746
Country : US
Telephone Number : 310-498-0104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2018
Last Update Date : 04/24/2022

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Directions to “ MR. ERIC PHILLIP WALKER ” Practice Location

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