Basic Information
| Provider Information | |||||||||
| NPI: | 1952528028 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUCKLEY | ||||||||
| FirstName: | WALTER | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 660 HAMPSHIRE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WESTLAKE VILLAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913612504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8054973736 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8555 FLORENCE AVE | ||||||||
| Address2: | |||||||||
| City: | DOWNEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902404014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629239351 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0105X | G21130 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand |
No ID Information.