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

Walt Jay Medical Corporation

Organization Physical Medicine & Rehabilitation Physician · NPI 1831238492

Walt Jay Medical Corporation is a Physical Medicine & Rehabilitation 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 505
Los Angeles, CA 90057-3605
Phone: (213) 483-9902
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence G00078400 (CA)

Record details

NPI number1831238492
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 address2011 Pray St, Fullerton, CA 92833-5070

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