MEDICARE: MS. AURA WALKER MA, POST GRAD CERTIF

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	101Y00000X	Counselor	HYPNOTHERAPIST HMI	CA

General Provider Information

NPI Number	:	1972914877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AURA WALKER MA, POST GRAD CERTIF

Provider Business Mailing Address
First Line	:	3415 S SEPULVEDA BLVD STE 1122
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-6060
Country	:	US
Telephone Number	:	310-382-6313
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 S SEPULVEDA BLVD STE 1122
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-6060
Country	:	US
Telephone Number	:	310-382-6313
Fax Number	:

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

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	05/13/2014

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