Individual provider · Type 1 NPI
Eleanor Andrea Wallen, D.P.M.
Foot & Ankle Surgery Podiatrist · Toluca Lake, CA
NPI number
1457394694
Active
Practice location
4418 Vineland Ave, Suite 215
Toluca Lake, CA 91602-3457
Fax (818) 980-5383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E3573 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1457394694
Eleanor Andrea Wallen, D.P.M.'s National Provider Identifier is 1457394694, issued on Jun 14, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Toluca Lake, CA. The record was last updated on Sep 28, 2009.