Eleanor a Wallen DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3573 Issued in CA

Legal business name

ELEANOR A WALLEN DPM INC

Practice address

4418 Vineland Avenue
Suite 215
Toluca Lake, CA 91602-2159

Phone

(818) 980-3383

Fax

(818) 980-5383

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor Andrea Wallen, DPM

Title

Owner Authorized Official

Phone

(818) 980-3383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841209889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVENUE",
            "address_2": "SUITE 215",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022159",
            "telephone_number": "818-980-3383",
            "fax_number": "818-980-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVENUE",
            "address_2": "SUITE 215",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022159",
            "telephone_number": "818-980-3383",
            "fax_number": "818-980-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR A WALLEN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "818-980-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.