Robert M Wald Jr MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G39788 Issued in CA

Legal business name

ROBERT M WALD JR MD INC

Practice address

100 E Valencia Mesa Dr Ste 300
Fullerton, CA 92835-3800

Phone

(717) 738-4282

Fax

(714) 738-1862

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Robert M Wald Jr., MD INCNPI 1952477507

Title

Owner

Phone

(714) 738-4282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert M Wald Jr., MD INC

  • Plastic Surgery Physician
  • Fullerton, CA
  • NPI 1952477507
  Authorized official Same address or phone

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1972879047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR STE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353800",
            "telephone_number": "717-738-4282",
            "fax_number": "714-738-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR STE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353800",
            "telephone_number": "717-738-4282",
            "fax_number": "714-738-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M WALD JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-738-4282",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD INC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G39788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun J Ro
• Chloe Raye Robbins
• Peter Robbins, PH.D.
• Ryan J Robbins
• Robert E McCoy, MD, Inc.
• Ayden Gabriel Roberts
• Cristy Robertson
• Ty'Jalayah Robertson, MA, LMFT
• Belinda Robinson, B.A.
• Mychal Stephanie Robinson

• Plastic Surgery Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.