Willis, Joseph Isaiah

Willis, Joseph Isaiah is an individual health care provider with primary practice located at 20540 Via Tarara , Yorba Linda CA 92887-3204. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Willis, Joseph Isaiah can be contacted via phone (714) 701-9560.

Contact Information

Primary practice address
20540 Via Tarara Yorba Linda CA 92887-3204
Phone: (714) 701-9560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G32748 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X G32748 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G32748 California

Profile Details

NPI number 1710947841
LBN Legal business name Willis, Joseph Isaiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 3rd, 2015 - about 11 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 1710947841 NPPES
California MEDICAID 00G327480

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