Doctor Name: | DR. AKO M WALTHER |
NPI Number: | 1588907836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A124467 |
Business Practice Address: | 1411 E 31st St Oakland, CA - 946021018 |
Business Phone Number: | 5104374800 |
Business Fax Number: | |
Mailing Address: | 2333 Mowry Ave 300, FREMONT |
State: | CA |
Postal Code: | 945381626 |
Phone Number: | 5107960222 |
Fax Number: | 5107967760 |
NPI Enumeration Date: | 04/04/2013 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A124467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |