Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walt Jay Medical Corporation

Organization Family Medicine Physician · NPI 1154463461

Walt Jay Medical Corporation is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1930 Wilshire Blvd Ste 600
Los Angeles, CA 90057-3605
Phone: (213) 483-9902
Fax: (213) 483-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1154463461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherine Ganegoda — Office Manager'S Assistant · (213) 483-9902
Other names Integrative Industrial And Family Practice Medical Clinics
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1930 Wilshire Blvd, Suite 600, Los Angeles, CA 90057-3605

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