Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0000X | Obstetrician | A87569 | CA |
NPI | 1316958028 |
---|---|
Provider Name | Dr. Ayanna M Walden |
First Address | West Hollywood, CA 90048-1839 |
Second Address | West Hollywood, CA 90048-1839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I58008 | (02) | CA |