DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TODD STEVEN WALLER, M.D.

Active Sole Proprietor

Otolaryngology · LOS ANGELES, CA

Registration Details

NPI Number
1306839568
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2005 (20.670241139721 yrs)
Last Updated
Dec 21, 2011
Licenses
35053497 (OH)
G39474 (CA)
Sole Proprietor
Yes

Practice Information

Address
1700 WESTWOOD BLVD
LOS ANGELES, CA, 900245608
Browse CA providers · Browse ZIP 90024
Phone
3104701752
Fax
3102346604
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in LOS ANGELES, CA

Name Credential NPI
GRACE SHIH-YI YANG M.D. 1316992423
LEAH E MINTZ M.D. 1710928023
RICHARD WAYNE CLARK M.D. 1073554242
QUINTON GOPEN M.D. 1114955788
DR. JONI KRISTIN DOHERTY M.D., PH.D., F.A.C.S 1497786628
DR. GARRETT DAVID HERZON M.D. 1043235120
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.