# CARRAGHER OSTEOPATHIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053590984
- **Authorized official:** DR. WILLIAM M CARRAGHER III M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (323) 874-9355

## Contact information

- **Practice address:** 7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
- **Practice address phone:** (323) 874-9355
- **Practice address fax:** (323) 874-9357
- **Mailing address:** 7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
- **Mailing address phone:** (323) 874-9355
- **Mailing address fax:** (323) 874-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20A7692 | CA | — |
| 207R00000X | Internal Medicine Physician | 20A7692 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A7692 | CA | — |
| 208D00000X | General Practice Physician | 20A7692 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2007
- **Last updated:** 01/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20A7692 | STATE LICENSE | CA |