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

Walt Jay Medical Corporation

Organization Pain Medicine (Anesthesiology) Physician · NPI 1568501120

Walt Jay Medical Corporation is a Pain Medicine (Anesthesiology) Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence A23961 (CA)

Record details

NPI number1568501120
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 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address318 N 3rd St, Alhambra, CA 91801-2387

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