Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A142764 | CA |
NPI | 1104151042 |
---|---|
Provider Name | Dr. Xaviour James Walker |
First Address | Orange, CA 92868 |
Second Address | Orange, CA 92868-3217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2009 |
Last Update Date | 08/11/2016 |