Nicholas Walther, PA-C

NPI 1003288481 · on the registry since 2015

Practice

Address: 2101 N Waterman Ave
San Bernardino, CA 92404
Phone: (909) 883-8711
Organisation at this address: Dignity Health
Sanani Medcorp
Kalyanam Health
Rasouli Medical Group
Mufadda J Hasan Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 171

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California