Wilmar O Wall, PHD MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC19220 Issued in CA

Practice address

13006 E. Philadelpia St., Ste. 513
Whittier, CA 90601

Phone

(562) 696-7096

Fax

(562) 696-7097

NPI assigned

Oct 23, 2006

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1952484255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 E. PHILADELPHIA ST., STE. 513",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90601",
            "telephone_number": "562-696-7096",
            "fax_number": "562-696-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 E. PHILADELPIA ST., STE. 513",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90601",
            "telephone_number": "562-696-7096",
            "fax_number": "562-696-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "WILMAR",
        "middle_name": "O",
        "credential": "PHD MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #07211)
• Walgreen Co (Walgreens #09468)
• Walgreen Co (Walgreens #05649)
• Todd Christopher Walker, PA-C
• Heather Wall, M.A., MFT
• Alexandra Mary Walsh
• Jacqueline T. Walsh, O.D.
• Cynthia Wang
• Eddie C. Wang, O.D.
• Jimmy C Wang, DDS

• Marriage & Family Therapist in Whittier, CA
• Providers in Whittier, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.