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Organization
PACIFIC VISTAS TELEHEALTH INC.
Active
Organization
PACIFIC VISTAS TELEHEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY D. WILLIAMS MD MD (PRESIDENT)
(917) 653-4625
Entity
Organization
Contact information
Practice address
530 WEST GRAVES, MONTEREY PARK, CA 91754
(917) 653-4625
(517) 212-9671
Mailing address
2000 WELLINGTON ROAD, LOS ANGELES, CA 90016
(917) 653-4625
(517) 212-9671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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