Search › California › 171M00000X
Walter Blackfox
NPI 1740140540 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5836 Fairview Pl
Agoura Hills, CA 91301 - Phone
- (805) 413-5600
- Fax
- (888) 827-2346
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-13
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