Waltsak, Martin Joseph

Waltsak, Martin Joseph is an individual health care provider with primary practice located at 12942 Harbor Blvd , Garden Grove CA 92840. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Waltsak, Martin Joseph can be contacted via phone (714) 705-2120.

Contact Information

Primary practice address
12942 Harbor Blvd Garden Grove CA 92840
Phone: (714) 705-2120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA14773 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14773 California

Profile Details

NPI number 1669409652
LBN Legal business name Waltsak, Martin Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669409652 NPPES
California Other P01272666/DU4032 RAILROAD MEDICARE
California MEDICAID PA14773 - WILMINGTON RAILROAD MEDICARE
California Other PA14773 RAILROAD MEDICARE
California MEDICAID PA14773 RAILROAD MEDICARE

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