Kaneesha J Williams, WHNP - BC | |
400 W 30th St, Los Angeles, CA 90007-3320 | |
(323) 213-3256 | |
Not Available |
Full Name | Kaneesha J Williams |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 400 W 30th St, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134541287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 778225 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Kaneesha J Williams, WHNP - BC 4003 1/2 Leeward Ave, Los Angeles, CA 90005-3570 Ph: () - | Kaneesha J Williams, WHNP - BC 400 W 30th St, Los Angeles, CA 90007-3320 Ph: (323) 213-3256 |
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