DR. WALTER R O'BRIEN (NPI# 1346290814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346290814 |
| Entity Type | Individual |
| Full Name | DR. WALTER R O'BRIEN |
| Credential | M.D. |
| Practice Address |
11600 Wilshire Blvd Suite 522 Los Angeles CA 90025-5781 |
| Mailing Address |
11710 Wilshire Blvd Los Angeles CA 90025-1503 |
| Practice Telephone | 3104777276 |
| Practice Fax Number | 3104775148 |
| Mailing Telephone | 3104777276 |
| Mailing Fax Number | 3104775148 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
G063193 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA NUMBER | BO1005809 | 01 |
| CA | 00G631931 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173360 | Walter M O'brien | Urology | 19415 Deerfield Ave Ste 112, Leesburg, VA 20176-8470 | 2005-09-09 |
| Street Address |
11600 WILSHIRE BLVD SUITE 522 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-5781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576276 | David Alan Wallace | Ophthalmology | 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 | 2005-05-27 |
| 1205373198 | Premier Healthcare and Supplies | Durable Medical Equipment & Medical Supplies | 11600 Wilshire Blvd, Los Angeles, CA 90025-5781 | 2017-01-30 |
| 1376092213 | Balestrieri Psychological Services, P.C. | Psychologist | 11600 Wilshire Blvd, Suite 412, Los Angeles, CA 90025-5781 | 2016-10-03 |
| 1982055489 | Best Health Corp | Internal Medicine | 11600 Wilshire Blvd, Suite 12, Los Angeles, CA 90025-5781 | 2016-06-26 |
| 1871979013 | Anna Kreymer | Dentist | 11600 Wilshire Blvd, Suite 10, Los Angeles, CA 90025-5781 | 2015-08-10 |
| 1811387723 | West Wilshire Family Medical Center | Clinic/Center | 11600 Wilshire Blvd, Suite 416, Los Angeles, CA 90025-5781 | 2015-01-30 |
| 1336543917 | Dr. Steven Rosenblatt | Acupuncturist | 11600 Wilshire Blvd, Suite 320, Los Angeles, CA 90025-5781 | 2014-10-10 |
| 1952643223 | Wendy Choy | Optometrist | 11600 Wilshire Blvd, Suite 100, Los Angeles, CA 90025-5781 | 2013-03-25 |
| 1942546742 | Russell Francis Moon | Dentist | 11600 Wilshire Blvd, #10, Los Angeles, CA 90025-5781 | 2012-12-25 |
| 1841543873 | Anne R Meyer Md A Professional Corporation | Physical Medicine & Rehabilitation | 11600 Wilshire Blvd, Suite 412, Los Angeles, CA 90025-5781 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1467630806 | Eric D. Jackson-scott | Family Medicine | 2355 Westwood Blvd Ste 609, Los Angeles, CA 90064-2109 | 2008-02-07 |
| 1750762027 | Jaclyn Rodriguez | Family Medicine | 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067-6593 | 2015-06-12 |
| 1437417441 | Leena Jay Patel | Family Medicine | 4950 W Sunset Blvd, 4th Floor, Los Angeles, CA 90027-5822 | 2012-04-26 |
| 1851623029 | Walter R Obrien Md Inc A Medical Corporation | Family Medicine | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2010-02-12 |
| 1366671836 | Ho Je Lee | Family Medicine | 966 S Western Ave, Ste 201, Los Angeles, CA 90006-1015 | 2009-07-06 |
| 1992840680 | Javid Tavari, D.o., Inc. | Family Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2007-02-20 |
| 1821186958 | Augusto Rojas | Family Medicine | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1326061896 | Allan Abbott | Family Medicine | 1520 San Pablo St Ste 1300, Los Angeles, CA 90033-5310 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| 1487913588 | James Toldi | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2012-05-09 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on DR. WALTER R O'BRIEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.