MEDICARE: MRS. KATHY NGUYEN WALKER M.D. FACOG

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	207V00000X	Obstetrics & Gynecology Physician	A62528	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A62528	OTHER	CA	BLUE CROSS GROUP NUMBER
3	ZZZ01654Z	OTHER	CA	BLUE SHIELD GROUP NUMBER

General Provider Information

NPI Number	:	1861495483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHY NGUYEN WALKER M.D. FACOG

Provider Business Mailing Address
First Line	:	960 E GREEN ST STE 210
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-844-8702
Fax Number	:	626-844-8707

Provider Business Practice Location Address
First Line	:	960 E GREEN ST STE 210
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-844-8702
Fax Number	:	626-844-8707

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/26/2025

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Directions to “ MRS. KATHY NGUYEN WALKER M.D. FACOG” Practice Location

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