Walmart, Inc.
Specialty details in registry · Lakewood, CA
At a glance
2770 Carson St, Lakewood, CA 90712-4004
NPPES record updated Oct 2, 2025. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
2770 Carson StLakewood, CA 90712-4004
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 156FX1800X
- Enumeration date
- Dec 8, 2023
- Record updated
- Oct 2, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
156FX1800X · Primary
Specialty details in registry
332H00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2770 Carson StLakewood, CA 90712-4004
- Phone
- (562) 497-1517
- Fax
- (562) 425-4577
Mailing address
1 CUSTOMER DR, MS 0445BENTONVILLE, AR 727160445
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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