# WILLIAM JERVIS, M.D., F. A. C. S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Cosmetic Surgery of Walnut Creek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225361629
- **Authorized official:** DR. WILLIAM HORACE JERVIS JR. MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (925) 937-7100

## Contact information

- **Practice address:** 1844 SAN MIGUEL DR, SUITE 109, WALNUT CREEK, CA 94596-4962
- **Practice address phone:** (925) 937-7100
- **Practice address fax:** (925) 937-3896
- **Mailing address:** 1844 SAN MIGUEL DR, SUITE 109, WALNUT CREEK, CA 94596-4962
- **Mailing address phone:** (925) 937-7100
- **Mailing address fax:** (925) 937-3896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G8005 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 09/16/2009