Williams, Jeremy Demetri

Williams, Jeremy Demetri is an individual health care provider with primary practice located at 525 N Garfield Ave , Monterey Park CA 91754-1202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Williams, Jeremy Demetri can be contacted via phone (626) 307-2129.

Contact Information

Primary practice address
525 N Garfield Ave Monterey Park CA 91754-1202
Phone: (626) 307-2129
Fax: (626) 307-2056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A76509 California

Profile Details

NPI number 1023052230
LBN Legal business name Williams, Jeremy Demetri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 11th, 2008 - about 17 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 1023052230 NPPES
California MEDICAID 00A765090

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