William Y Josephson, Md, Inc | |
17075 Devonshire St Ste 100a Northridge CA 91325-5405 | |
(818) 831-7767 | |
Not Available |
Full Name | William Y Josephson, Md, Inc |
---|---|
Speciality | Internal Medicine |
Location | 17075 Devonshire St Ste 100a, Northridge, California |
Authorized Official Name and Position | William Y Josephson (OWNER) |
Authorized Official Contact | 8188377767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
William Y Josephson, Md, Inc 17075 Devonshire St Ste 100a Northridge CA 91325-5405 Ph: (818) 831-7767 | William Y Josephson, Md, Inc 17075 Devonshire St Ste 100a Northridge CA 91325-5405 Ph: (818) 831-7767 |
NPI Number | 1760814917 |
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Provider Enumeration Date | 07/30/2013 |
Last Update Date | 07/30/2013 |
Medicare PECOS PAC ID | 8123255445 |
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Medicare Enrollment ID | O20131212000634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760814917 | NPI | - | NPPES |
A44225 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A44225 (California) | Primary |
Provider Name | William Josephson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376647651 PECOS PAC ID: 7214118082 Enrollment ID: I20110228000115 |
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