William J Wickwire M D Inc A Professional Corporation in Redondo Beach - Dermatology
William J Wickwire M D Inc A Professional Corporation - NPI 1326119165
William J Wickwire M D Inc A Professional Corporation is a Dermatology in Redondo Beach, California. William J Wickwire M D Inc A Professional Corporation practices all healthcare services and medical treatments related to Dermatology. The NPI Number for William J Wickwire M D Inc A Professional Corporation is 1326119165. The last update date is 2022-03-24.
William J Wickwire M D Inc A Professional Corporation's current location address is 520 N Prospect Ave, Redondo Beach, California. You can contact this provider via phone number 3107981515 and fax number 3107983131. The mailing address for William J Wickwire M D Inc A Professional Corporation is 520 N Prospect Ave, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William J Wickwire M D Inc A Professional Corporation |
|---|---|
| Address | 520 N Prospect Ave, Redondo Beach, California |
| Phone Number | 3107981515 |
| Fax Number | 3107983131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ammar M Neal |
| Credentials | M.D |
| Telephone Number | 3107981515 |
NPI Number Detail
| NPI Number | 1326119165 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2022-03-24 |
Provider Mailing Address Detail
| Address | 520 N Prospect Ave |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902773041 |
| Phone Number | 3107981515 |
| Fax Number | 3107983131 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | G650830 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G650830 | CA | MEDICARE NORTHERN CA ID | |
| 00G650830 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William J Wickwire M D Inc A Professional Corporation by the Centers for Medicare & Medicaid Services?
The William J Wickwire M D Inc A Professional Corporation has been assigned the NPI (National Provider Identifier) 1326119165. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where William J Wickwire M D Inc A Professional Corporation is physically located?
The William J Wickwire M D Inc A Professional Corporation is physically situated at the following address: 520 N Prospect Ave, Redondo Beach, CA, 902773041.
What is William J Wickwire M D Inc A Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William J Wickwire M D Inc A Professional Corporation is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
When did William J Wickwire M D Inc A Professional Corporation receive its 1326119165 assignment?
The William J Wickwire M D Inc A Professional Corporation was assigned its 1326119165 on 2006-11-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to William J Wickwire M D Inc A Professional Corporation last refreshed?
The information related to the William J Wickwire M D Inc A Professional Corporation, including its address, specialty, and other relevant details, was last updated on 2022-03-24.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA