WALTER L WYNNE (NPI# 1396797817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797817 |
| Entity Type | Individual |
| Full Name | WALTER L WYNNE |
| Credential | M.D. |
| Practice Address |
2131 W 3rd St St Vincent Medical Center Los Angeles CA 90057-1901 |
| Mailing Address |
201 Wilshire Blvd Ste A26 Santa Monica CA 90401-1212 |
| Practice Telephone | 3108740623 |
| Mailing Telephone | 3108740623 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | A043607 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A043607 | 01 |
| Street Address |
2131 W 3RD ST ST VINCENT MEDICAL CENTER |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124004304 | St Vincent Medical Center | General Acute Care Hospital | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2005-12-19 |
| 1740809284 | Becky Le-xuan Tran | Pharmacy Technician | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2020-04-14 |
| 1679125256 | Kpc Global Medical Center of Downtown Los Angeles LLC | General Acute Care Hospital | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1841842424 | Kpc Global Medical Center of Downtown Los Angeles LLC | Skilled Nursing Facility | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1740832328 | Kpc Global Medical Center of Downtown Los Angeles LLC | Rehabilitation Unit | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2019-07-12 |
| 1386112761 | Albert Cho | Pharmacist | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2018-11-05 |
| 1790277135 | Axiom Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | 2131 W 3rd St, Los Angeles, CA 90057 | 2018-06-01 |
| 1982117024 | Robert James Hostetler | Orthopaedic Surgery | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2017-11-12 |
| 1225554231 | Alexander Raymond Camba | Occupational Therapist | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2017-08-21 |
| 1639556723 | Su-fen Chen | Pharmacist | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2015-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411053 | Daniel Marciano, Md Inc | Hospitalist | 1440 Reeves St Apt 208, Los Angeles, CA 90035-2951 | 2013-04-16 |
| 1659542975 | William John Reid Iv | Hospitalist | 10837 Le Conte Ave, Mailroom 16-155, Los Angeles, CA 90095-0001 | 2008-03-13 |
| 1447455449 | Nasim Afsarmanesh | Hospitalist | 757 Westwood Plz Ste 7-7501a, Los Angeles, CA 90095-0001 | 2007-06-19 |
| 1114483146 | Ca Hospital Hospitalist Medical Group Inc | Hospitalist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-02-14 |
| 1588139836 | Sycamore Hill Hospitalist Medical Group Inc | Hospitalist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2018-10-12 |
| 1366964009 | Samaritan Hospitalist Medical Group Inc | Hospitalist | 1225 Wilshire Blvd, Los Angeles, CA 90017 | 2017-07-14 |
| 1306371117 | Sunmin Park | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-04-30 |
| 1285169466 | Farah Shirazi | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-04-26 |
| 1306387519 | Philip Sheth | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-03-20 |
| 1952842221 | Stefan Nguyen | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-03-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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| 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.