| Doctor Name: | DR. BARTON ROY WALD |
| NPI Number: | 1598035628 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G36871 |
| Business Practice Address: | 440 E Huntington Dr Suite 200, Second Floor Arcadia, CA - 910063776 |
| Business Phone Number: | 6262548110 |
| Business Fax Number: | 6262548230 |
| Mailing Address: | 440 E Huntington Dr, Suite 200, Second Floor ARCADIA |
| State: | CA |
| Postal Code: | 910063776 |
| Phone Number: | 6262548110 |
| Fax Number: | 6262548230 |
| NPI Enumeration Date: | 01/05/2012 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | G36871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |