Madrid, William L

Madrid, William L is an individual health care provider with primary practice located at 3650 South St Ste 310 , Lakewood CA 90712-1519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Madrid, William L can be contacted via phone (562) 531-1980.

Contact Information

Primary practice address
3650 South St Ste 310 Lakewood CA 90712-1519
Phone: (562) 531-1980
Fax: (562) 531-7952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A48312 California

Profile Details

NPI number 1467419366
LBN Legal business name Madrid, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467419366 NPPES
California MEDICAID 00A483120

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