Richard B Williams Phd Md Inc | |
630 Mission St Suite 1 South Pasadena CA 91030-3038 | |
(626) 799-3616 | |
(626) 799-4001 |
Full Name | Richard B Williams Phd Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 630 Mission St, South Pasadena, California |
Authorized Official Name and Position | Richard B Williams (PRESIDENT) |
Authorized Official Contact | 6267993616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard B Williams Phd Md Inc Po Box 800817 Santa Clarita CA 91380-0817 Ph: (661) 295-0859 | Richard B Williams Phd Md Inc 630 Mission St Suite 1 South Pasadena CA 91030-3038 Ph: (626) 799-3616 |
NPI Number | 1225289788 |
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Provider Enumeration Date | 10/02/2008 |
Last Update Date | 10/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225289788 | NPI | - | NPPES |
PRESIDENT LICENSE# | Other | CA | G58242 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G58242 (California) | Primary |
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