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WALT JAY MEDICAL CORPORATION NPI 1083769707


NPI Information

NPI: 1083769707
Provider Name: WALT JAY MEDICAL CORPORATION

Doing Business As: INTEGRATIVE INDUSTRIAL AND FAMILY PRACTICE MEDICAL CLINICS

Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 05D0975494

Address:
1701 W WHITTIER BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (323) 887-3577
Get Directions

WALT JAY MEDICAL CORPORATION is a rehabilitation chiropractor in Montebello, CA. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. WALT JAY MEDICAL CORPORATION NPI is 1083769707. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integrative Industrial And Family Practice Medical Clinics.

The provider's business location address is:

1701 W WHITTIER BLVD
MONTEBELLO, CA
ZIP 90640-004
Phone: (323) 887-3577
Fax: (323) 887-9567

The provider's authorized official is Sherine Ganegoda .
The authorized official title is Office Manager's Assistant and has the following contact phone number (213) 483-9902.

The CLIA number assigned to this NPI record is 05D0975494 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NR0400XChiropractorRehabilitationDC16212CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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