Walden Surgical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WALDEN SURGICAL

Practice address

935 N Fairfax Ave
West Hollywood, CA 90046-7203

Phone

(323) 654-2299

Fax

(323) 654-2299

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leon Blum

Title

President

Phone

(323) 654-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104984574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N FAIRFAX AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467203",
            "telephone_number": "323-654-2299",
            "fax_number": "323-654-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N FAIRFAX AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467203",
            "telephone_number": "323-654-2299",
            "fax_number": "323-654-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-654-2299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02041F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuyen Vuong, MD
• Jessica Vyas, PA-C
• W. Michael Carragher III, DO Inc.
• Vikram S Wadhwa, MD
• Zara Wadood, M.D.
• Ayanna M Walden, MD
• Reid Waldman
• Walgreen Co
• Corey Tyler Walker, M.D.
• Ann E Walts, MD

• Durable Medical Equipment & Medical Supplies in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.