| William Essilfie, M.d., Inc. | |
|
1141 W Redondo Beach Blvd Suite 307 Gardena CA 90247-3586 | |
| (310) 715-6100 | |
| (310) 715-6832 |
| Full Name | William Essilfie, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1141 W Redondo Beach Blvd, Gardena, California |
| Authorized Official Name and Position | William Essilfie (C.E.O.) |
| Authorized Official Contact | 3107156100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Essilfie, M.d., Inc. 1141 W Redondo Beach Blvd Suite 307 Gardena CA 90247-3586 Ph: (310) 715-6100 | William Essilfie, M.d., Inc. 1141 W Redondo Beach Blvd Suite 307 Gardena CA 90247-3586 Ph: (310) 715-6100 |
| NPI Number | 1376853655 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 7911191226 |
|---|---|
| Medicare Enrollment ID | O20101101000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376853655 | NPI | - | NPPES |
| 00A461371 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A46137 (California) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | A46137 (California) | Secondary |
| Provider Name | William T Essilfie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588744627 PECOS PAC ID: 8820282130 Enrollment ID: I20101101000669 |
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