Wala Putros, LE

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9824 Issued in CA

Practice address

1780 E McFadden Ave Ste 115
Santa Ana, CA 92705-4648

Phone

(714) 617-5463

Fax

(951) 531-9465

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oc Electrolysis & Skin Care

  • Specialist
  • Santa Ana, CA
  • NPI 1205507654
  NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1376227751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E MCFADDEN AVE STE 115",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054648",
            "telephone_number": "714-617-5463",
            "fax_number": "951-531-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E MCFADDEN AVE STE 115",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054648",
            "telephone_number": "714-617-5463",
            "fax_number": "951-531-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTROS",
        "first_name": "WALA",
        "credential": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Hei Kelly Pun, BEHAVIOR TECHNICIAN
• Regine Pura
• Nicole Monique Purcell, LMFT
• Christine Purdy
• Pure Health Lifestyle Inc.
• Timothy Pyo
• Q Diagnostics Inc
• Kashif Qadeer, O.D.
• Zeeshan Qadri
• QHP a Professional Corporation

• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.