Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G32137 | CA |
NPI | 1144245838 |
---|---|
Provider Name | Dr. Ray Everett Williams |
First Address | Inglewood, CA 90301-4502 |
Second Address | Inglewood, CA 90301-4502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G321370 | (05) | CA |
A91406 | (02) | CA |