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

Walt Jay Medical Corporation

Organization General Practice Physician · NPI 1154509297

Walt Jay Medical Corporation is a General Practice Physician in Los Angeles, California. Registered with an NPI since 2008.

In the registry since
2008

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

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1154509297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherine Ganegoda — Assistant To Office Manager · (213) 483-9902
Other names Integrative Industrial & Family Practice Medical Clinics
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008
Mailing address1930 Wilshire Blvd, Suite 600, Los Angeles, CA 90057-3605

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