Provider Demographics
NPI:1871807784
Name:WALKER, TINA LEANNE (MD)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:LEANNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:22550 SAVI RANCH PKWY
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4670
Mailing Address - Country:US
Mailing Address - Phone:714-685-3523
Mailing Address - Fax:714-685-3502
Practice Address - Street 1:22550 SAVI RANCH PKWY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4670
Practice Address - Country:US
Practice Address - Phone:714-685-3523
Practice Address - Fax:714-685-3502
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA113377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine