Provider Demographics
NPI:1356427066
Name:WALKER, CAROL ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:675 ARROYO PARKWAY
Mailing Address - Street 2:SUITE 420
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105
Mailing Address - Country:US
Mailing Address - Phone:626-795-0617
Mailing Address - Fax:626-795-7546
Practice Address - Street 1:675 ARROYO PARKWAY
Practice Address - Street 2:SUITE 420
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105
Practice Address - Country:US
Practice Address - Phone:626-795-0617
Practice Address - Fax:626-795-7546
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG23684208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics