Provider Demographics
NPI:1740634567
Name:WALLSH, JOSH O (MD)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:O
Last Name:WALLSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4201 TORRANCE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4537
Mailing Address - Country:US
Mailing Address - Phone:310-944-9393
Mailing Address - Fax:310-944-3393
Practice Address - Street 1:4201 TORRANCE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4537
Practice Address - Country:US
Practice Address - Phone:310-944-9393
Practice Address - Fax:310-944-3393
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2024-01-26
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Provider Licenses
StateLicense IDTaxonomies
NY290563207WX0107X, 207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology