Williams, Derek Frank

Williams, Derek Frank is an individual health care provider with primary practice located at 11633 Hawthorne Blvd Suite 410, Hawthorne CA 90250-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Derek Frank can be contacted via phone (310) 792-4450.

Contact Information

Primary practice address
11633 Hawthorne Blvd Suite 410 Hawthorne CA 90250-2321
Phone: (310) 792-4450
Fax: (310) 792-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A72933 California

Profile Details

NPI number 1467405753
LBN Legal business name Williams, Derek Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 7th, 2023 - about 3 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 1467405753 NPPES
California MEDICAID 00G157110

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