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

Walter Tucker IV

Individual provider Case Manager/Care Coordinator · NPI 1457917213

Walter Tucker IV is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

550 S Vermont Ave Fl 9
Los Angeles, CA 90020-1912
Phone: (213) 738-4775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1457917213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESMay 16, 2019

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