VICTOR WALUCH (NPI# 1457302069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457302069 |
| Entity Type | Individual |
| Full Name | VICTOR WALUCH |
| Credential | M.D. |
| Practice Address |
2131 W 3rd St Radiology Department Los Angeles CA 90057 |
| Mailing Address |
Dept La 21577 Pasadena CA 91185-1577 |
| Practice Telephone | 2134847901 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 9492631639 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G42835 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G428350 | 05 | |
| CA | BLUE SHIELD | 00G428350 | 01 |
| Street Address |
2131 W 3RD ST RADIOLOGY DEPARTMENT |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| 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.