Provider Demographics
NPI:1205906898
Name:OZAR, WALKER (DC)
Entity type:Individual
Prefix:
First Name:WALKER
Middle Name:
Last Name:OZAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3201
Mailing Address - Country:US
Mailing Address - Phone:310-659-9911
Mailing Address - Fax:323-852-7105
Practice Address - Street 1:8420 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3201
Practice Address - Country:US
Practice Address - Phone:310-659-9911
Practice Address - Fax:323-852-7105
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor